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Individual

ANTHONY F BISACCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
36 MAUCHLY, STE A, IRVINE, CA 92618-2393
(949) 727-3315
(949) 727-3624
Mailing address
200 NEWPORT CENTER DR, NEWPORT BEACH, CA 92660-7501
(949) 727-3315
(949) 727-3624

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 27358
CA

Other

Enumeration date
08/11/2006
Last updated
04/20/2015
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