Individual
CORISSA MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
400 BELMONT PL SE UNIT 2338, SMYRNA, GA 30080-2055
(850) 227-6904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002316
GA
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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