Individual
MRS. MYRA LYNN O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
23961 CALLE DE LA MAGDALENA, SUITE 400, LAGUNA HILLS, CA 92653-3616
(949) 587-1155
Mailing address
29822 RUNNING DEER LN, LAGUNA NIGUEL, CA 92677-2027
(949) 363-7418
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1074
CA
Other
Enumeration date
11/22/2007
Last updated
11/22/2007
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