Individual
DAVID WAYNE MCLEARY
Active
Individual
DAVID WAYNE MCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT000912E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012785280002
—
PA
05
—
0012785280003
—
PA
01
—
048476
HIGHMARK BC BS
PA
Enumeration date
07/05/2006
Last updated
08/02/2021
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