Individual
KELLY LYNN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9100 BABCOCK BLVD, PITTSBURGH, PA 15237-5815
(412) 367-6461
Mailing address
16 OAKHURST CIR, PITTSBURGH, PA 15215-1652
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006555
PA
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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