Provider Demographics
NPI:1417251984
Name:MCINTYRE, JUNE J (OTD)
Entity Type:Individual
Prefix:MS
First Name:JUNE
Middle Name:J
Last Name:MCINTYRE
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3046 COLLEGE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2531
Mailing Address - Country:US
Mailing Address - Phone:323-459-9322
Mailing Address - Fax:
Practice Address - Street 1:333 GELLERT BLVD STE 150
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2690
Practice Address - Country:US
Practice Address - Phone:866-758-4700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2010-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8015225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist