Individual
STACEY MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2885 HARRIS ST, EUREKA, CA 95503-4808
(707) 444-9604
Mailing address
1330 SILVERADO AVE, MCKINLEYVILLE, CA 95519-9114
(707) 601-1662
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1643
CA
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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