Individual
REBECCA NICOLE MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
095084
IA
225X00000X
Occupational Therapist
Primary
105649
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JZQ128135634001
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/06/2018
Last updated
05/05/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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