Individual
MRS. MISTY MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 CHERRY RUN ROAD, RIMERSBURG, PA 16248
(724) 548-2222
Mailing address
135 CHERRY RUN ROAD, RIMERSBURG, PA 16248
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005811
PA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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