Devan Mcculloch

NPI #1205225323 in Dixon, Illinois

Provider Information

NPI Number: 1205225323
Entity Type: Individual
Name: Devan Mcculloch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jan 13, 2015
Last Updated: Jan 27, 2017

Practice Location

Address: 201 LINCOLN STATUE DR
City: Dixon
State: Illinois
ZIP Code: 61021-2000
Phone: (815) 284-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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