Individual
MRS. GINA M. MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 682-9222
Mailing address
2 SCOTLAND DR, ANDOVER, MA 01810-2500
(978) 470-4534
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2435
MA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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