Individual
KARISSA MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
937 E 186TH ST, WESTFIELD, IN 46074-7827
(317) 804-8044
Mailing address
4409 W BLACK WOLF RUN DR, CARMEL, IN 46033-6605
(765) 271-7305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001612A
IN
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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