Individual
MR. CONOR J MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
5601 DESOTO AVE, WOODLAND HILLS, CA 91365
(818) 719-2930
Mailing address
22020 COHASSET ST, CANOGA PARK, CA 91303-1122
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT4136
CA
Other
Enumeration date
04/09/2007
Last updated
12/06/2021
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