Provider Demographics
NPI:1710162631
Name:MCCLOY, MARIA J (OTR)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:J
Last Name:MCCLOY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3569 LARKSPUR CIR
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7584
Mailing Address - Country:US
Mailing Address - Phone:720-494-0353
Mailing Address - Fax:
Practice Address - Street 1:3569 LARKSPUR CIR
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80503-7584
Practice Address - Country:US
Practice Address - Phone:720-494-0353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-09
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics