Most Relevant Information
Provider Data
| NPI Number: | 1003518762 |
| Provider Name: | FALLON MCCULLY |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2023 |
| Last Updated: | 03/20/2023 |
Provider Practice Location
2124 W JACKSON ST
MUNCIE
IN
473034729
Practice Location Phone/Fax
| Phone: | 7654390150 |
| Fax: |
Provider Mailing Location
2124 W JACKSON ST
MUNCIE
IN
473034729
Provider Mailing Phone/Fax
| Phone: | 7654390150 |
| Fax: |