Individual
JEREMY L. MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
15331 CREATIVITY DR # 960, CULPEPER, VA 22701
(840) 317-0888
(540) 739-7475
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211812
VA
Other
Enumeration date
05/22/2017
Last updated
12/13/2024
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