Shanda Ailene Mccormick, PT

NPI #1932181062 in Beaverton, Oregon

Provider Information

NPI Number: 1932181062
Entity Type: Individual
Name: Shanda Ailene Mccormick, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 15, 2005
Last Updated: Nov 9, 2007

Practice Location

Address: 13470 SW FARMINGTON RD
City: Beaverton
State: Oregon
ZIP Code: 97005-2618
Phone: (503) 644-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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