NPI Profile for CHARLES E MCCULLOUGH in BROOKINGS, SD.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1265484216 |
|
| Status | Active | |
| Credentials | CPT | |
| Entity | Individual | |
| Enumeration date | 05/17/2006 | |
| Last updated | 03/20/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHARLES E MCCULLOUGH
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