Individual
SHANNON MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1212 GARFIELD AVE, SUITE 200, PARKERSBURG, WV 26101-3247
(304) 865-6778
(304) 865-7400
Mailing address
1212 GARFIELD AVE, SUITE 200, PARKERSBURG, WV 26101-3247
(304) 865-6778
(304) 865-7400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1042
WV
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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