Individual
BARBARA LYNN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
15100 WHITTAKER WAY, GRAND HAVEN, MI 49417-8696
(616) 935-6280
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007996
MI
Other
Enumeration date
03/12/2018
Last updated
08/24/2021
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