| NPI | 1770992042 |
|---|---|
| Former Name | CHRISTINE MARIE MCINTYRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 11482) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-05-13 |