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Organization
MCCORMICK PHYSICAL THERAPY & ATHLETIC REHAB
Active
Organization
MCCORMICK PHYSICAL THERAPY & ATHLETIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MCCORMICK MPT (OWNER, PHYSICAL THERAPIST)
(618) 660-8097
Entity
Organization
Contact information
Practice address
131 GREENBRIER LN, BETHALTO, IL 62010
(618) 660-8097
Mailing address
131 GREENBRIER LN, BETHALTO, IL 62010
(618) 660-8097
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016904
IL
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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