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Individual
TIMITHY MARK MCCLELLAN
Active
Individual
TIMITHY MARK MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS024117
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
W3837
TX
390200000X
Student in an Organized Health Care Education/Training Program
OT022008
PA
Other
Enumeration date
03/22/2021
Last updated
09/23/2026
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