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1134219553
CARRIE MCCORMICK
FREEPORT, IL
NPI
1134219553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012362)
Enumeration Date
2006-10-14
Last Update Date
2007-07-08
Business Address
-- CARRIE MCCORMICK PT
1763 S DIRCK DR
FREEPORT, IL 61032-6707
Phone number: 815-233-5100
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Mailing Address
-- CARRIE MCCORMICK PT
505 WELLMOOR
SAVANNA, IL 61074
Phone number: 815-273-4663
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