Individual
MRS. APRIL MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
719 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2530
(309) 495-4530
(309) 495-4532
Mailing address
719 N WILLIAM KUMPF BLVD, PEORIA, IL 61605-2530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003474
IL
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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