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ASHLEY MCCORMICK

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1245614635

Individual Registrant:
 ASHLEY  MCCORMICK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
333 MAIN ST  PORTLAND, CT 06480-1561 US
Tel: 860-788-7543  Fax: --

Contact information for business:
333 MAIN ST  PORTLAND, CT 06480-1561 US
Tel: --  Fax: --

Registration Information:
NPI: 1245614635
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
CT001378

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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