Individual
ANNA CATHERINE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 KOONTZ LN, CARSON CITY, NV 89701-5513
(775) 883-3622
Mailing address
2477 CARRIAGE CREST DR, CARSON CITY, NV 89706-3393
(775) 671-7214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0467
NV
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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