Individual
JENNIFER A MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
43 LEDGEWOOD DR, MILFORD, NH 03055
(603) 672-5037
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1087
NH
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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