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1295098861
ROSS BRIAN MCCORMACK
PALM DESERT, CA
NPI
1295098861
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 37530)
Enumeration Date
2012-06-19
Last Update Date
2023-10-23
Business Address
ROSS BRIAN MCCORMACK PT DPT OCS
77622 COUNTRY CLUB DR STE G
PALM DESERT, CA 92211-0447
Phone number: 760-345-3087
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Mailing Address
ROSS BRIAN MCCORMACK PT DPT OCS
1650 LYNDON FARM CT STE 300
LOUISVILLE, KY 40223-5005
Phone number: 951-335-9825
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