Individual
KAITLYN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 FOREST ST, PEABODY, MA 01960-3907
(978) 532-0303
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9779
MA
Other
Enumeration date
02/12/2009
Last updated
07/07/2009
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