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Individual

KAREN ELAINE MCCORMACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1208 3RD AVE S, BIRMINGHAM, AL 35233-1311
(205) 638-7505
Mailing address
6501 JULIA PEARL LN, COTTONDALE, AL 35453-4330
(205) 394-5416

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3612
AL

Other

Enumeration date
06/24/2011
Last updated
09/10/2013
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