Individual
JANICE M MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1650 BEAM AVE, MAPLEWOOD, MN 55109-1192
(651) 770-6605
Mailing address
7516 46TH ST N, OAKDALE, MN 55128-2217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3098
MN
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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