Individual
MARQUITA LE'ANN MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1227 S MAIN ST, POPLARVILLE, MS 39470-3317
(601) 746-5101
(601) 746-5102
Mailing address
PO BOX 956, POPLARVILLE, MS 39470-0956
(601) 746-5101
(601) 746-5102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-4099
MS
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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