Individual
MR. MICHAEL BRIAN MCCORMICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
101 SOUTH ST, VERNON, CT 06066-4410
(412) 956-4888
Mailing address
101 SOUTH ST, VERNON, CT 06066-4434
(412) 956-4888
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
2255A2300X
CT
Other
Enumeration date
04/04/2006
Last updated
07/08/2007
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