Individual
SUMMER MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5916 CRESTHAVEN LN, TOLEDO, OH 43614-1200
(419) 865-4445
Mailing address
5916 CRESTHAVEN LN, TOLEDO, OH 43614-1200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06252
OH
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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