Pamela Jean Mccully, PTA

NPI #1528365954 in Mansfield, Texas

Provider Information

NPI Number
1528365954
Entity Type
Individual
Name
Pamela Jean Mccully, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
PTA
Enumeration Date
Feb 21, 2011
Last Updated
Feb 21, 2011

Practice Location

Address
904 YUKON DR
State
Texas
ZIP Code
76063-6345
Phone
(814) 521-4946

Specialties & Taxonomy Codes

Specialty
Contractor

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