Individual
ANDREA ALEXANDRA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8224 MENTOR AVE STE 114, MENTOR, OH 44060-5743
(330) 867-2240
Mailing address
5280 FULLER DR APT 6, ASHTABULA, OH 44004-6200
(440) 317-2770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012553
OH
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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