Individual
COURTNEY C MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 MAIN ST STE 320, PEORIA, IL 61602-5010
(309) 672-4536
Mailing address
4420 S BLACKBURN CV, MAPLETON, IL 61547-9529
(309) 267-0165
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.015145
IL
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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