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Individual

KONNOR JAMES MCINTIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOT, OTR

Contact information

Practice address
94-1181 KA UKA BLVD STE C, WAIPAHU, HI 96797-4485
(808) 260-9056
Mailing address
239 E CENTER ST, LINDON, UT 84042-2023
(801) 301-3030

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2483
HI
225XP0200X
Pediatric Occupational Therapist
OT-2483
HI

Other

Enumeration date
02/23/2024
Last updated
06/19/2024
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