-- SHANNON MCCULLOUGH --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1922151430- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1212 GARFIELD AVE SUITE 200, PARKERSBURG, WV, 261013247
- Phone
- (304) 865-6778
- Fax
- (304) 865-7400
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: WV #1042