| Doctor Name: | JILL SUZANNE MCCORMICK |
| NPI Number: | 1073517520 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 108639 |
| Business Practice Address: | 2650 Research Park Dr Soquel, CA - 950732087 |
| Business Phone Number: | 8315662004 |
| Business Fax Number: | 8313250307 |
| Mailing Address: | 121 Waugh Ave, SANTA CRUZ |
| State: | CA |
| Postal Code: | 950651133 |
| Phone Number: | 8315662004 |
| Fax Number: | 8313250307 |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 108639 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |