Individual
KELLY MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10435 DOWNSVILLE PIKE, HAGERSTOWN, MD 21740-7901
(301) 766-8222
Mailing address
150 LUMBER ST., LITTLESTOWN, PA 17340
(717) 451-6945
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05171
MD
225X00000X
Occupational Therapist
OC007194L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101421547
MA
PA
Enumeration date
09/20/2007
Last updated
10/17/2022
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