Individual
MOLLY MICHELLE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
668 BANK ST, NEW LONDON, CT 06320-5081
(860) 442-4600
Mailing address
8 PICKERING DR, WESTERLY, RI 02891-3222
(401) 741-5379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14.014111
CT
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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