Individual
SHEILA G MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
4047 13TH ST, SAINT CLOUD, FL 34769-6772
(802) 558-3840
Mailing address
87 LYE BROOK RD, MANCHESTER CENTER, VT 05255-9544
(802) 558-3840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1569
NC
225XH1200X
Hand Occupational Therapist
072-0000099
VT
225XH1200X
Hand Occupational Therapist
3736
MA
225XH1200X
Hand Occupational Therapist
Primary
OT22351
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008974
—
VT
Enumeration date
11/13/2006
Last updated
10/10/2024
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