Individual
MISS KELLY MARIE MCCUTCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2515 E GLENN AVE, SUITE 104, AUBURN, AL 36830-6453
(334) 821-2256
(334) 826-8082
Mailing address
2515 E GLENN AVE, SUITE 104, AUBURN, AL 36830-6453
(334) 821-2256
(334) 826-8082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5999
AL
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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