Individual
MICHAEL JOSEPH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 ORTHOPEDIC DR, PEABODY, MA 01960-1668
(978) 818-6260
Mailing address
44 ORRIS ST, MELROSE, MA 02176-1639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6196
MA
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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