Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT06089 | OH |
NPI | 1083613814 |
---|---|
Provider Name | Mr. Paul M Mcghee |
First Address | Wooster, OH 44691-7130 |
Second Address | Wooster, OH 44691-7130 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 26/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2461385 | (05) | OH |
S31788 | (02) |