MEDICARE: SHEILA G MCCULLOUGH OTR, CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1569	NC
2	225XH1200X	Hand Occupational Therapist	072-0000099	VT
3	225XH1200X	Hand Occupational Therapist	OT22351	FL
4	225XH1200X	Hand Occupational Therapist	3736	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609947563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA G MCCULLOUGH OTR, CHT

Provider Business Mailing Address
First Line	:	87 LYE BROOK RD
Second Line	:
City	:	MANCHESTER CENTER
State	:	VT
Zip	:	05255-9544
Country	:	US
Telephone Number	:	802-558-3840
Fax Number	:

Provider Business Practice Location Address
First Line	:	4047 13TH ST
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6772
Country	:	US
Telephone Number	:	802-558-3840
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	10/10/2024

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