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Individual

COLLEEN A MCCULLOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
586 E MIDDLE TPKE, MANCHESTER, CT 06040-3730
(860) 645-3810
(860) 645-3814
Mailing address
148 EAST AVE, SUITE 2M, NORWALK, CT 06851-5721
(203) 866-5458
(203) 866-3014

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008401
CT

Other

Enumeration date
09/17/2008
Last updated
09/17/2008
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