Individual
ANN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
105 VICTORY RD, DORCHESTER, MA 02122-3518
(708) 574-9941
Mailing address
105 VICTORY RD, DORCHESTER, MA 02122-3518
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11870
MA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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