Individual
MRS. MARY JENNETTE MCCLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
101 MERGANSER DR, MANDEVILLE, LA 70448-6608
(985) 727-1854
Mailing address
101 MERGANSER DR, MANDEVILLE, LA 70448-6608
(985) 727-1854
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.Z10271
LA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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