MEDICARE: CYNTHIA L MCCORMACK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT011356	OH

General Provider Information

NPI Number	:	1467008698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA L MCCORMACK

Provider Business Mailing Address
First Line	:	1376 W CLIFTON BLVD
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3302
Country	:	US
Telephone Number	:	216-256-6245
Fax Number	:

Provider Business Practice Location Address
First Line	:	1376 W CLIFTON BLVD
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3302
Country	:	US
Telephone Number	:	216-256-6245
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2019
Last Update Date	:	02/09/2026

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Directions to “ CYNTHIA L MCCORMACK ” Practice Location

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