Individual
MATTHEW MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
4195 WESTBERG RD, HERMANTOWN, MN 55811-2950
(218) 216-9921
Mailing address
2965 E TARPON DR STE 150, MERIDIAN, ID 83642-9007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105959
MN
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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