Individual
CONNOR MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
451 BALTIMORE PIKE, SPRINGFIELD, PA 19064-3810
(610) 541-7874
Mailing address
518 TASKER AVE, FOLSOM, PA 19033-1420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT030709
PA
225100000X
Physical Therapist
TPT023528
PA
Other
Enumeration date
05/31/2022
Last updated
08/18/2022
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