Connor Mccullough

NPI #1346082021 in Columbus, Wisconsin

Provider Information

NPI Number: 1346082021
Entity Type: Individual
Name: Connor Mccullough
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 12, 2024
Last Updated: Jun 12, 2024

Practice Location

Address: 1515 PARK AVE
City: Columbus
State: Wisconsin
ZIP Code: 53925-2402
Phone: (920) 623-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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