Individual
LORAN BROOKE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24142 GROSS RD, ATHENS, AL 35614-3165
(256) 771-3239
Mailing address
24142 GROSS RD, ATHENS, AL 35614-3165
(256) 771-3239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4893
AL
Other
Enumeration date
03/13/2019
Last updated
11/01/2022
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