Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT-013787 | OH |
NPI | 1053737569 |
---|---|
Provider Name | Mr. Patrick Mcginty |
First Address | Solon, OH 44139-2202 |
Second Address | Solon, OH 44139-2202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2014 |
Last Update Date | 07/03/2014 |