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Individual

JOHN MCCAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
4070 WEST ST, CAMBRIA, CA 93428-3023
(805) 927-1055
Mailing address
2484 PIERCE AVE, CAMBRIA, CA 93428-4918
(805) 286-0402

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10549
CA

Other

Enumeration date
05/03/2021
Last updated
05/03/2021
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