MR. SHANE MCCORMICK, OTR/L
Occupational Therapist
Active
Individual
NPI: 1295071611
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | OT-1386 (WY) |
Frequently Asked Questions
NPI 1295071611 is the National Provider Identifier for MR. SHANE MCCORMICK, OTR/L, a Occupational Therapist provider located in Jackson, WY. This NPI was enumerated on December 13, 2012.
MR. SHANE MCCORMICK, OTR/L practices at 310 E BROADWAY AVE, Jackson, WY 83001.
Quick Facts
- NPI
- 1295071611
- Type
- Individual
- Enumerated
- Dec 13, 2012
- Last Updated
- Jul 1, 2020
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