Individual
MR. DANNY LEONARD MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
124 SW CHAMBER CT, PORT ST LUCIE, FL 34986-3496
(772) 288-2400
(772) 419-0144
Mailing address
1050 SE MONTEREY RD, SUITE 400, STUART, FL 34994-4512
(772) 288-2400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21723
FL
Other
Enumeration date
11/01/2006
Last updated
03/07/2016
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