Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 20560 | MD |
NPI | 1073081154 |
---|---|
Provider Name | Kristin Mcgee |
First Address | Gaithersburg, MD 20877-5100 |
Second Address | Gaithersburg, MD 20877-5100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2018 |
Last Update Date | 07/11/2018 |