Individual
BRETT MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(812) 499-0551
Mailing address
1920 DIEFENBACH RD, EVANSVILLE, IN 47720-3349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006222A
IN
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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