Individual
CLARE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11531 SWINFORD LN, MOKENA, IL 60448-9274
(219) 229-0322
Mailing address
8027 COLUMBIA AVE, MUNSTER, IN 46321-1321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005632A
IN
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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