Individual
MRS. DARCY JO MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CPT
Contact information
Practice address
W314 N720 STATE HWY 83, DELAFIELD, WI 53018
(262) 361-2056
Mailing address
N27W30097 MAPLE AVE, PEWAUKEE, WI 53072-4252
(262) 751-6503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2005-15
WI
225200000X
Physical Therapy Assistant
Primary
2005-19
WI
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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