Individual
CARLA MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SUMMIT DR, FARMINGTON, MO 63640-1641
(573) 701-1360
(573) 701-1369
Mailing address
9 SUMMIT DR, FARMINGTON, MO 63640-1641
(573) 701-1360
(573) 701-1369
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000440
MO
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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