Individual
MRS. ERIN MACINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, BCP
Contact information
Practice address
396 WASHINGTON ST STE 370, WELLESLEY, MA 02481-6209
(617) 548-1199
Mailing address
396 WASHINGTON ST STE 370, WELLESLEY, MA 02481-6209
(617) 548-1199
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6075
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0626310
TAX ID
MA
Enumeration date
01/05/2022
Last updated
01/05/2022
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