Individual
BREANNA JEAN MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
910 E OLIVE ST, MARSHALLTOWN, IA 50158-4175
(641) 752-4581
Mailing address
1315 MAYFIELD DR UNIT 205, AMES, IA 50014-5582
(785) 424-4266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
090386
IA
Other
Enumeration date
06/14/2019
Last updated
07/26/2019
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