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Individual
DR. CEVIN CHARLES CORMIER
Active
Individual
DR. CEVIN CHARLES CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1894
AL
225100000X
Physical Therapist
PTH3099
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000021855
PTAN
AL
01
—
510I650143
PTAN FOR PT
AL
Enumeration date
12/15/2006
Last updated
06/16/2018
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