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1154998284
TIMOTHY MCCULLOUGH
FORT WAYNE, IN
NPI
1154998284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05014178A)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
Dr. TIMOTHY MCCULLOUGH PT, DPT
3320 N CLINTON ST
FORT WAYNE, IN 46805-1918
Phone number: 260-483-2100
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Mailing Address
Dr. TIMOTHY MCCULLOUGH PT, DPT
5425 COVENTRY LN APT 202
FORT WAYNE, IN 46804-7168
Phone number: 740-816-6622
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