Individual
LESLIE ANNE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7325 SE 32ND AVE, PORTLAND, OR 97202-8544
(503) 774-3432
Mailing address
7325 SE 32ND AVE, PORTLAND, OR 97202-8544
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8040
OR
Other
Enumeration date
02/17/2012
Last updated
02/17/2012
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