Individual
MRS. WHITNEY ELISE MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
903 W BOUNDARY ST, QUITMAN, GA 31643-3719
(229) 305-5266
Mailing address
903 W BOUNDARY ST, QUITMAN, GA 31643-3719
(229) 305-5266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001717
GA
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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