Individual
FAITH MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9754 PINE POINT DR, LAKELAND, TN 38002-8402
(901) 382-5052
(901) 382-5052
Mailing address
9754 PINE POINT DR, LAKELAND, TN 38002-8402
(901) 382-5052
(901) 382-5052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000006956
TN
225100000X
Physical Therapist
005527
NY
225100000X
Physical Therapist
PT3688
MS
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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