Individual
BRYAN P MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1025 E 7TH ST, HPER BLDG, RM. 133, BLOOMINGTON, IN 47405-7109
(812) 855-4711
(812) 855-3998
Mailing address
1025 E 7TH ST, HPER BLDG, RM. 133, BLOOMINGTON, IN 47405-7109
(812) 855-4711
(812) 855-3998
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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