Individual
KELLY MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-3111
Mailing address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-3111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016410
PA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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