Individual
ELIZABETH MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 HOLBROOK AVE, LEBANON, OH 45036-1648
(513) 616-2664
Mailing address
700 HOLBROOK AVE, LEBANON, OH 45036-1648
(513) 616-2664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-06008
OH
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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