Provider Demographics
NPI:1770670119
Name:MACLAY, MARYCLAIRE ELIZABETH (OTR)
Entity Type:Individual
Prefix:MR
First Name:MARYCLAIRE
Middle Name:ELIZABETH
Last Name:MACLAY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 OAKWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001
Mailing Address - Country:US
Mailing Address - Phone:410-642-2411
Mailing Address - Fax:410-642-1897
Practice Address - Street 1:BLDG. 80H, ROOM 201
Practice Address - Street 2:
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21902
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:410-642-1897
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171000000X
MD004908225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No171000000XOther Service ProvidersMilitary Health Care Provider