PHILIP MCINTOSH

MOUNT VERNON, IL
NPI1932488350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057002607)
Enumeration Date2011-08-16
Last Update Date2011-08-16
Business Address
-- PHILIP MCINTOSH
1915 LAKE ST
MOUNT VERNON, IL 62864-2817
Phone number: 618-315-3525
Mailing Address
-- PHILIP MCINTOSH
1915 LAKE ST
MOUNT VERNON, IL 62864-2817
Phone number:
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