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Joseph M McCulloch Jr., P.T.

Physical Therapist in Shreveport, LA. Individual provider (NPI-1).

NPI number1528081908
StatusActive
Last updated in NPPESNov 27, 2016

Details

NPI
1528081908
Entity type
Individual (NPI-1)
Name
Joseph M McCulloch Jr.
Credential
P.T.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 26, 2006
Last updated
Nov 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

1450 Claiborne Ave
Lsuhsc-School Of Allied Health Professionals
Shreveport, LA 71103-4204

Phone 318-813-2970 · Fax 318-813-2981

Mailing address

1501 Kings Hwy
Lsuhsc-Allied Health Clinics
Shreveport, LA 71103-4228

Phone 318-813-2970 · Fax 318-813-2981

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