Individual
MISS RENEE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000694
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345891
NBCOT CERTIFICATION NUMBER
CO
01
—
OTA.0000694
COTA LICENSE
CO
Enumeration date
10/16/2015
Last updated
10/16/2015
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