Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC010654 | PA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OC010654 | PA |
NPI | 1386091205 |
---|---|
Provider Name | Brandy Mcclure |
First Address | Chambersburg, PA 17202-7414 |
Second Address | Chambersburg, PA 17202-7414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2016 |
Last Update Date | 20/05/2016 |