Individual
DAVID BRUCE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3050 N ORMSBY BLVD, CARSON CITY, NV 89703-8378
(775) 841-4646
Mailing address
PO BOX 41293, RENO, NV 89504-5293
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0268
NV
Other
Enumeration date
06/14/2009
Last updated
06/14/2009
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