Individual
PAUL ALLEN MCCULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
450 WASHINGTON ST APT C, COVENTRY, RI 02816-5443
(401) 447-4134
Mailing address
450 WASHINGTON ST APT C, COVENTRY, RI 02816-5443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20580
FL
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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