Individual
NATHAN DANIEL MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
502 E 1100 N, CHESTERTON, IN 46304-9697
(219) 926-5850
Mailing address
1460 STATE ST, HOBART, IN 46342-6076
(765) 810-6298
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05014345A
IN
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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