Individual
MARIE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S DITTMAN ST, FRONTENAC, KS 66763-2253
(615) 896-6400
Mailing address
210 5TH ST, MC CUNE, KS 66753-4043
(620) 632-4580
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00360
KS
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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