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NPI Code Detail

MEDICARE: TAMMY MCCORMICK

MEDICARE: TAMMY MCCORMICK
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
1225XP0019XPhysical Rehabilitation Occupational Therapist

General Provider Information

NPI Number : 1740794361
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY MCCORMICK
Provider Business Mailing Address
First Line : W76N677 WAUWATOSA RD
Second Line :
City : CEDARBURG
State : WI
Zip : 53012-1707
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : W76N677 WAUWATOSA RD
Second Line :
City : CEDARBURG
State : WI
Zip : 53012-1707
Country : US
Telephone Number : 414-329-2428
Fax Number : 414-329-2428
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2017
Last Update Date : 09/28/2022

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