Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PTA31800 | FL |
Y | 2251P0200X | Physical Therapist - Pediatrics | PTA31800 | FL |
NPI | 1134872864 |
---|---|
Provider Name | Caitlyn Mcginley |
First Address | Vero Beach, FL 32960-3641 |
Second Address | Vero Beach, FL 32960-3641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2022 |
Last Update Date | 02/02/2022 |