Individual
MRS. ALISON NICOLE MCCUTCHEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA80235374
NC
320700000X
Physical Disabilities Residential Treatment Facility
PTA 001124
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750559647
PTA
NC
01
—
80235374
PTA
NC
Enumeration date
02/14/2008
Last updated
07/21/2022
Update your record
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