Individual
MICHIKO MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED. MSOT OTR/L
Contact information
Practice address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(910) 409-8960
Mailing address
10338 ALEXANDER MARTIN AVE, CHARLOTTE, NC 28277-2708
(704) 625-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16732
NC
Other
Enumeration date
07/05/2024
Last updated
08/10/2024
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