Individual
DAVID WAYNE MCLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
111 E CHURCH ST STE B, LIGONIER, PA 15658-1257
(724) 238-2099
(724) 238-2119
Mailing address
3960 STATE ROUTE 30, SUITE 104, LATROBE, PA 15650-5518
(724) 532-3422
(724) 532-3424
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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