Individual
MICAELA D MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16405 NORTHCROSS DR, G-2, HUNTERSVILLE, NC 28078-5091
(704) 439-3406
(480) 393-4115
Mailing address
16405 NORTHCROSS DR, G-2, HUNTERSVILLE, NC 28078-5091
(704) 439-3406
(480) 393-4115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11512
FL
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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