Individual
CHRISTOPHER MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
210 JUPITER LAKES BLVD, SUITE 5101, JUPITER, FL 33458-7191
(561) 741-1876
(888) 721-1997
Mailing address
210 JUPITER LAKES BLVD, SUITE 5101, JUPITER, FL 33458-7191
(561) 741-1876
(888) 721-1997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22813
FL
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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