Individual
MRS. CARYN ANN MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6685 E 117TH AVE, CROWN POINT, IN 46307-7808
(219) 663-6392
Mailing address
6685 E 117TH AVE, CROWN POINT, IN 46307-7808
(219) 663-6392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001366A
IN
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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