Individual
NANCY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
600 N ROBBINS RD, STE 100, BOISE, ID 83702-4566
(208) 383-0201
Mailing address
600 N ROBBINS RD, STE 401, BOISE, ID 83702-4566
(208) 383-0201
(208) 489-4300
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
OT-008
—
Other
Enumeration date
08/13/2006
Last updated
02/05/2008
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