Individual
REBECCA ANNE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
Mailing address
32 AMO ST, STAR LAKE, NY 13690-3132
(315) 955-3984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
06925-1
NY
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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