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Contact Information

DIANE J MCCORMACK, MS, OTR/L
15840 LONG LAKE ROAD
DETROIT LAKES, MN56501
 Phone: 218-847-5071
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DIANE J MCCORMACK · (Female)

NPI # 1063657120
Status Active
Credentials MS, OTR/L
Entity Individual
Enumeration date 12/03/2008
Last updated 12/03/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 100296
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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