| Doctor Name: | JEFFERY P. MCCORMICK |
| NPI Number: | 1306987284 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 17821 |
| Business Practice Address: | 1340 Lake Blvd Sutter Physical And Hand Therapy Davis, CA - 956162619 |
| Business Phone Number: | 5307535338 |
| Business Fax Number: | 5307534609 |
| Mailing Address: | 1340 Lake Blvd, Sutter Physical And Hand Therapy DAVIS |
| State: | CA |
| Postal Code: | 956162619 |
| Phone Number: | 5307535338 |
| Fax Number: | 5307534609 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 12/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 17821 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| 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 |