# JANICE CULLITON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649376682
- **Gender:** F
- **Credential:** P.T.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 1049 | MN | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 07/09/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 40352500 | — | WV |
| 01 | — | 6401846 | MN MEDICA INDIVIDUAL | MN |
| 01 | — | 73B48CU | BCBS MINNESOTA INDIVIDUAL | MN |