Provider Demographics
NPI:1790304491
Name:MCLEES, ELIZABETH CORINNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CORINNE
Last Name:MCLEES
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 1:3802 BROOK RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23227-4102
Mailing Address - Country:US
Mailing Address - Phone:434-989-4317
Mailing Address - Fax:
Practice Address - Street 1:3802 BROOK RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23227-4102
Practice Address - Country:US
Practice Address - Phone:434-989-4317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119007196225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand