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NPI Code Detail

MEDICARE: SEAN S MCINTIRE DPT

MEDICARE: SEAN S MCINTIRE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT 40369CA

General Provider Information

NPI Number : 1003241738
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN S MCINTIRE DPT
Provider Business Mailing Address
First Line : 317 N EL CAMINO REAL
Second Line : #210
City : ENCINITAS
State : CA
Zip : 92024-2811
Country : US
Telephone Number : 858-587-8669
Fax Number : 858-587-8675
Provider Business Practice Location Address
First Line : 4435 EASTGATE MALL
Second Line : #120
City : SAN DIEGO
State : CA
Zip : 92121-1982
Country : US
Telephone Number : 858-587-8669
Fax Number : 858-587-8675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2013
Last Update Date : 03/10/2014

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Directions to “ SEAN S MCINTIRE DPT” Practice Location

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