Individual
MS. KATHRYN YVETTE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4835 FAIRFIELD AVE, FORT WAYNE, IN 46807-3273
(260) 515-1341
Mailing address
4835 FAIRFIELD AVE, FORT WAYNE, IN 46807-3273
(260) 515-1341
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001856A
IN
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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