Doctor Name: | ANALYN M MCCUTCHEN |
NPI Number: | 1104026111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 2769 |
Business Practice Address: | 63 Blacstock Rd Inman, SC - 29349 |
Business Phone Number: | 8644729055 |
Business Fax Number: | 8644725115 |
Mailing Address: | 63 Blacstock Rd, INMAN |
State: | SC |
Postal Code: | 29349 |
Phone Number: | 8644729055 |
Fax Number: | 8644725115 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 07/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 2769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |