Individual
DR. JOSHUA MCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2280 TERMINAL RD, ROSEVILLE, MN 55113-2516
(612) 400-7872
Mailing address
2280 TERMINAL RD, ROSEVILLE, MN 55113-2516
(612) 400-7872
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
10361
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10361
PT LICENSE
MN
Enumeration date
08/02/2021
Last updated
08/02/2021
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