Individual
MRS. NANCY C MCCORMAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22 PLEASANT VALLEY DR, BALLWIN, MO 63021-6006
(314) 323-5955
(636) 386-6698
Mailing address
22 PLEASANT VALLEY DR, BALLWIN, MO 63021-6006
(314) 323-5955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102630
MO
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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