Connor Mccullough, DPT | |
451 Baltimore Pike, Springfield, PA 19064-3810 | |
(610) 541-7874 | |
Not Available |
Full Name | Connor Mccullough |
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Gender | Male |
Speciality | Physical Therapist |
Location | 451 Baltimore Pike, Springfield, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063151983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | TPT023528 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | PT030709 (Pennsylvania) | Primary |
Provider Name | Novacare Outpatient Rehabilitation East Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487010583 PECOS PAC ID: 3678480290 Enrollment ID: O20140220000935 |
Mailing Address | Practice Location Address |
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Connor Mccullough, DPT 518 Tasker Ave, Folsom, PA 19033-1420 Ph: () - | Connor Mccullough, DPT 451 Baltimore Pike, Springfield, PA 19064-3810 Ph: (610) 541-7874 |
Lisa Ann D'arcy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 779 W Sproul Rd, Springfield, PA 19064 Phone: 484-470-2150 | |
Ms. Deborah Lee Ludwig, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Baltimore Pike, Suite 301, Springfield, PA 19064 Phone: 610-690-2520 Fax: 610-690-4645 | |
Nermin Gabra, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Baltimore Pike, Suite 108, Springfield, PA 19064 Phone: 610-328-7100 Fax: 610-604-0509 | |
Mrs. Erin Lynn White, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Baltimore Pike, Suite 109, Springfield, PA 19064 Phone: 610-328-7100 Fax: 610-328-7105 | |
Kristen Basta, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S State Rd Ste 220, Springfield, PA 19064 Phone: 610-356-1991 | |
Victoria Porretti, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 779 W Sproul Rd, Springfield, PA 19064 Phone: 484-470-2150 |