Individual
CORINNE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 OHIO PIKE, CINCINNATI, OH 45255-3721
(513) 528-0107
Mailing address
4126 MATSON AVE, CINCINNATI, OH 45236-2510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004635
OH
2255A2300X
Athletic Trainer
2490
NY
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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