Individual
RACHEL MCCLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
818 MENAUL BLVD NW, ALBUQUERQUE, NM 87107-1245
(505) 321-8433
Mailing address
11620 BALDWIN AVE NE, ALBUQUERQUE, NM 87112-3140
(505) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3619
NM
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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