Individual
JACOB CLAY MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(903) 509-2040
Mailing address
1505 W GRANDE BLVD APT 1103, TYLER, TX 75703-5697
(318) 751-2325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215287
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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