IndividualActive
Cassidy Mccullough, OTR/L
NPI 1760993067 · Pediatric Occupational Therapist · Shawnee, OK
Provider details
- NPI number
- 1760993067
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 2128 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
412 N Broadway Ave
Shawnee, OK 74801-6922
Phone: (405) 273-1523
Fax: (405) 273-1743
Approximate (ZIP-level) locationGet directions
Mailing address
412 N Broadway Ave
Shawnee, OK 74801-6922
Registry dates
- Enumerated
- 2017-10-13
- Last updated
- 2017-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.