Individual
MR. CAMPBELL MCCORMACK IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
331 WILMINGTON-WEST CHESTER PIKE, SUITE ONE, GLEN MILLS, PA 19342-2277
(610) 558-5866
(610) 558-6103
Mailing address
420 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1568
(215) 629-3837
(215) 629-5531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016697
PA
Other
Enumeration date
07/13/2005
Last updated
04/18/2008
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