Individual
CHRISTINA MARIE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1305 MARSHALL DR SE, SALEM, OR 97302-2641
(503) 509-0346
Mailing address
1305 MARSHALL DR SE, SALEM, OR 97302-2641
(503) 509-0346
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
407918
OR
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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