Individual
MS. ANDREA L MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-5255
Mailing address
204 RAIFORD RD, VESTAL, NY 13850-3253
(845) 649-5535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63015400
NY
Other
Enumeration date
11/03/2008
Last updated
03/18/2010
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