Individual
LISA M MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1509 FAIRMONT AVE, FAIRMONT, WV 26554-2135
(304) 363-0050
Mailing address
1509 FAIRMONT AVE, FAIRMONT, WV 26554-2135
(304) 363-0050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
04/23/2014
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