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Individual

MICHAEL JOEL MCINTYRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
29 ST HELENS AVE, APT 1210, TACOMA, WA 98402-2615
(253) 973-1526
Mailing address
29 ST HELENS AVE, APT 1210, TACOMA, WA 98402-2615
(253) 973-1526

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
348570
WA

Other

Enumeration date
12/09/2015
Last updated
12/09/2015
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