Individual
DANIELLE NICHOLE MCCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4919 CELESTE DR, LOUISVILLE, KY 40228-1290
(502) 290-7988
Mailing address
4919 CELESTE DR, LOUISVILLE, KY 40228-1290
(502) 290-7988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
KY-A3765
KY
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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