Individual
CASE JOSEPH MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3501 PARK LANE DR, LA CROSSE, WI 54601-7747
(608) 789-4800
Mailing address
705 S 12TH ST APT 8, LA CRESCENT, MN 55947-1449
(507) 458-1971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3052-19
WI
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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