Individual
PAGE M MCINTYRE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W SPRINGFIELD AVE STE 702, CHAMPAIGN, IL 61820-4845
(502) 418-3405
Mailing address
613 HESSEL BLVD, CHAMPAIGN, IL 61820-6328
(502) 418-3405
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
056.009757
IL
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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