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Individual

JOHN TRISTAN INTEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
PO BOX 2901, MERRIFIELD, VA 22116-2901
(703) 646-2250
(703) 991-5649
Mailing address
387 BROOKTONDALE RD, BROOKTONDALE, NY 14817-9750
(607) 342-1558

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119010613
VA
225X00000X
Occupational Therapist
028781
NY
225X00000X
Occupational Therapist
Primary
27424
CA

Other

Enumeration date
02/05/2024
Last updated
10/17/2025
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