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Individual

MRS. DEBRA RUTH MCINTOSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L

Contact information

Practice address
1741 HWY 399, BEATTYVILLE, KY 41311
(606) 464-9633
(606) 464-9633
Mailing address
1741 HWY 399, BEATTYVILLE, KY 41311
(606) 464-9633
(606) 464-9633

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R0835
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
617
FIRST STEPS PROVIDER
KY
Enumeration date
10/03/2006
Last updated
07/08/2007
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