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1679586820
LAURA M MCCULLOUGH
FORT WORTH, TX
NPI
1679586820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1152070)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
LAURA M MCCULLOUGH PT
5610 BRIDGE STREET SUPPLEMENTAL HEALTHCARE
FORT WORTH, TX 76112
Phone number: 817-492-7058
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Mailing Address
LAURA M MCCULLOUGH PT
8728 TRINITY VISTA TRL
HURST, TX 76053-7520
Phone number: 817-284-2427
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