IndividualActive
Maryanna Mccullough, OTA
NPI 1053903591 · Occupational Therapy Assistant · Brookings, SD
Provider details
- NPI number
- 1053903591
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Female
- Sole proprietor
- No
- License
- 0131002230 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1310 6th St Apt 301
Brookings, SD 57006-2383
Phone: (605) 630-6732
Approximate (ZIP-level) locationGet directions
Mailing address
1310 6th St Apt 301
Brookings, SD 57006-2383
Registry dates
- Enumerated
- 2021-02-05
- Last updated
- 2021-02-05
- Certified
- 2021-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.