DAVID BRUCE MCCULLOUGH

CARSON CITY, NV
NPI1780811042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NV  A-0268)
Enumeration Date2009-06-14
Last Update Date2009-06-14
Business Address
-- DAVID BRUCE MCCULLOUGH PTA
3050 N ORMSBY BLVD
CARSON CITY, NV 89703-8378
Phone number: 775-841-4646
Mailing Address
-- DAVID BRUCE MCCULLOUGH PTA
PO BOX 41293
RENO, NV 89504-5293
Phone number: