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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

XAVIER M MCCULLOUGH, PTA

Active

XAVIER M MCCULLOUGH, PTA is a Occupational Therapist healthcare provider located in MCDONOUGH, Georgia. NPI 1932742202 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MCDONOUGH, GA

Registration Details

NPI Number
1932742202
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2019 (6.792982701979 yrs)
Last Updated
Jun 10, 2021
Licenses
CP005018A (GA)
50253 (CA)

Practice Information

Address
898 HAMPTON RD
MCDONOUGH, GA, 302536514
Browse GA providers · Browse ZIP 30253
Phone
6785839954
Fax
6785838709
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in MCDONOUGH, GA

Name Credential NPI
LISA ATKINSON 1366552945
MRS. VALERIE LYNNE GALLOWAY PTA 1356485528
AMY G ELROD PTA 1184908907
MARGARET EISELE-LAZOR PTA 1720473028
ELIZABETH AWOSANYA 1639537228
TAYLAR MARIE WILKINSON PTA 1427583889
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.