Shannon Mcintosh

NPI #1003104415 in Poplarville, Mississippi

Provider Information

NPI Number: 1003104415
Entity Type: Individual
Name: Shannon Mcintosh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 19, 2011
Last Updated: Sep 15, 2020

Practice Location

Address: 9 BALMORAL DR STE A
City: Poplarville
State: Mississippi
ZIP Code: 39470-3344
Phone: (601) 746-5101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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