Individual
LATOYA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 FULLWOOD RD, MATTHEWS, NC 28105-2659
(704) 841-4920
Mailing address
600 FULLWOOD RD, MATTHEWS, NC 28105-2659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2584
SC
225200000X
Physical Therapy Assistant
Primary
5603
NC
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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