Most Relevant Information
Provider Data
| NPI Number: | 1003182569 |
| Provider Name: | AMY M MCCLELLAN |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2012 |
| Last Updated: | 03/29/2012 |
Provider Practice Location
114 S 20TH AVE W
SUITE A
DULUTH
MN
558063526
Practice Location Phone/Fax
| Phone: | 2187214732 |
| Fax: |
Provider Mailing Location
114 S 20TH AVE W
SUITE A
DULUTH
MN
558063526
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |