Individual
KIMBERLY LENEE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5787 S HAMPTON RD STE 230B, DALLAS, TX 75232-2255
(214) 493-3562
Mailing address
PO BOX 16786, FORT WORTH, TX 76162-0786
(214) 493-3562
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2044774
TX
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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