Provider Demographics
NPI:1043698277
Name:MCLEAN, TAMEIKA M (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:TAMEIKA
Middle Name:M
Last Name:MCLEAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 29TH ST NW
Mailing Address - Street 2:APT 619
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-5531
Mailing Address - Country:US
Mailing Address - Phone:917-599-7221
Mailing Address - Fax:
Practice Address - Street 1:2745 29TH ST NW
Practice Address - Street 2:APT 619
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20008-5531
Practice Address - Country:US
Practice Address - Phone:917-599-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT010001054225X00000X
MD07589225X00000X
VA0119006497225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist