NPI 1164792073
Christopher McCormack, PTA
Practice location
- Address
- 210 Jupiter Lakes Blvd Suite 5101, Jupiter, FL 33458-7191
- Phone
- (561) 741-1876
- Fax
- (888) 721-1997
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1164792073
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 9 Jan 2012
- Record last updated
- 9 Jan 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.