Individual
MRS. KENDRA ANN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1175 PROFESSIONAL CT, HAGERSTOWN, MD 21740-5906
(301) 733-5017
Mailing address
23415 FRUIT TREE DR, SMITHSBURG, MD 21783-1443
(301) 824-6159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15565
MD
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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