Individual
TRICIA MCCLUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1 SPERTI DR, EDGEWOOD, KY 41017-9654
(859) 344-9322
(859) 344-9332
Mailing address
1 SPERTI DR, EDGEWOOD, KY 41017-9654
(859) 344-9322
(859) 344-9332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2961
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100334690
—
KY
Enumeration date
04/03/2007
Last updated
04/20/2016
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