Individual
DR. JAMIE MCCULLAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
5457 TORRESDALE AVE, PHILADELPHIA, PA 19124-1634
(215) 535-8941
Mailing address
3018 GUILFORD ST, PHILADELPHIA, PA 19152-4502
(215) 738-2398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012225
PA
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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