Individual
BETTY ANNE MACCORMAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
330 GOLDEN SHR, LONG BEACH, CA 90802-4246
(866) 414-0448
Mailing address
PO BOX 11412, BEVERLY HILLS, CA 90213-4412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7115
CA
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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