Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | ||
Y | 225100000X | Physical Therapist | 008954 | GA |
N | 225100000X | Physical Therapist | 8954 | GA |
NPI | 1942337159 |
---|---|
Provider Name | Joshua D. Mcginty |
First Address | Lagrange, GA 30240-4041 |
Second Address | Lagrange, GA 30240-4041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 17/09/2019 |