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Individual
JEFFERY P. MCCORMICK
Active
Individual
JEFFERY P. MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17821
MA
225100000X
Physical Therapist
Primary
PT34210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467437657
REBOUND'S NPI
MA
01
—
621300
TUFTS
MA
01
—
8077207
CIGNA
MA
01
—
AA45429
HP
MA
01
—
REPT0299
MEDICARE
MA
Enumeration date
02/12/2007
Last updated
12/07/2007
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