Individual
KELLI MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 APPLING DR UNIT 101, MT PLEASANT, SC 29464-4890
(484) 366-2099
Mailing address
1320 APPLING DR UNIT 101, MT PLEASANT, SC 29464-4890
(484) 366-2099
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7586
SC
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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