Individual
MS. REBECCA MCCLELLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 448-5619
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00137000
NJ
363A00000X
Physician Assistant
Primary
1145141
MA
363A00000X
Physician Assistant
PA.0007017
CO
Other
Enumeration date
05/27/2008
Last updated
10/10/2023
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