Individual
MR. IAN WILLIAM JOHN MCCLURE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
3650 COALITION DR, MYRTLE BEACH, SC 29588-6183
(843) 293-7713
Mailing address
3650 COALITION DR, MYRTLE BEACH, SC 29588-6183
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1186
SC
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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