Individual
ASHLEIGH DIANE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 S UNIVERSITY BLVD, MOBILE, AL 36609-7864
(251) 220-6766
Mailing address
123 PLUM BLUFF DR, LUCEDALE, MS 39452-3759
(334) 379-0007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1948
AL
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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