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Individual

LISA DIANE MCCUNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1538 E WARNER AVE, SUITE A, SANTA ANA, CA 92705-5476
(714) 434-4773
Mailing address
7635 E APPALOOSA TRL, ORANGE, CA 92869-2406
(714) 434-4773

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT 18894
CA

Other

Enumeration date
10/05/2010
Last updated
10/05/2010
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