Individual
DIANE MACKINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
118 HASTINGS DR, WHITINSVILLE, MA 01588-2046
(774) 551-6003
Mailing address
118 HASTINGS DR, WHITINSVILLE, MA 01588-2046
(774) 551-6003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10719
MA
225X00000X
Occupational Therapist
OT01342
RI
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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