Individual
LEARON ROSE MCGINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(627) 998-3302
Mailing address
7610 PERSHING BLVD, KENOSHA, WI 53142-4318
(262) 948-3600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15593-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40252000
—
WI
Enumeration date
09/14/2021
Last updated
10/10/2024
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