Individual
MRS. JULIE D. MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
297 KNOLLWOOD RD, SUITE 1, WHITE PLAINS, NY 10607-1833
(914) 837-2764
Mailing address
16 ANTHONY LN, DARIEN, CT 06820-5001
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009578-1
NY
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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