Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT-03766 | OH |
Y | 225XH1200X | Occupational Therapist - Hand | 1011100242 | OH |
NPI | 1083689319 |
---|---|
Provider Name | Amy L Mclelland |
First Address | Sandusky, OH 44870-7161 |
Second Address | Sandusky, OH 44870-7161 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2006 |
Last Update Date | 16/04/2012 |