Individual
NICOLE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
3420 HARRY S TRUMAN BLVD, SAINT CHARLES, MO 63301-4046
(636) 926-2700
Mailing address
3420 HARRY S TRUMAN BLVD, SAINT CHARLES, MO 63301-4046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2021024254
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507265809
—
MO
05
—
856118104
—
MO
Enumeration date
06/26/2021
Last updated
08/01/2023
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