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Organization
MCCORMICK PHYSICAL THERAPY LLC
Active
Organization
MCCORMICK PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA K MCCORMICK PT (PHYSICAL THERAPIST, OWNER)
(253) 686-9511
Entity
Organization
Contact information
Practice address
5929 WESTGATE BLVD STE C, TACOMA, WA 98406-2567
(253) 686-9511
Mailing address
5929 WESTGATE BLVD STE C, TACOMA, WA 98406-2567
(253) 686-9511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104076918
NPI(TYPE 1)
KY
Enumeration date
09/13/2022
Last updated
09/13/2022
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