Doctor Name: | MR. WILLIE MCINTYRE |
NPI Number: | 1932223492 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 21545 Centre Pointe Pkwy Santa Clarita, CA - 913502947 |
Business Phone Number: | 6612549842 |
Business Fax Number: | 6612599658 |
Mailing Address: | 18802 Mandan St, #904 CANYON COUNTRY |
State: | CA |
Postal Code: | 913513740 |
Phone Number: | 6613126405 |
Fax Number: | 6612599658 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |