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Individual

GAVIN DALE MCCLELLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
893 N 900 E, PLEASANT GROVE, UT 84062-1904
(801) 822-7699

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10250403-4201
DOPL
UT
Enumeration date
01/07/2026
Last updated
01/30/2026
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