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NPI Code Detail

MEDICARE: MICHELLE MCINTYRE DPT

MEDICARE: MICHELLE MCINTYRE 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 TherapistPT024652PA

General Provider Information

NPI Number : 1164882221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE MCINTYRE DPT
Provider Business Mailing Address
First Line : 1933 SPRING GARDEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-3866
Country : US
Telephone Number : 484-947-1842
Fax Number :
Provider Business Practice Location Address
First Line : 3500 W CHESTER PIKE
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-4101
Country : US
Telephone Number : 484-947-1842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 03/02/2016

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