Individual
MELISSA N MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7707 W DEER VALLEY RD, SUITE 105, PEORIA, AZ 85382-2101
(623) 376-9100
(623) 376-9100
Mailing address
12945 W CRITTENDEN LN, AVONDALE, AZ 85392-6686
(623) 376-9100
(623) 376-9141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7367
AZ
Other
Enumeration date
11/16/2006
Last updated
01/18/2008
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