Individual
LAURA M MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2140 SEWALL BROOK RD, BETHEL, VT 05032-4520
(802) 359-3745
Mailing address
2140 SEWALL BROOK RD, BETHEL, VT 05032-4520
(802) 359-3745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
073.0900239
VT
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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