Individual
MRS. LISA ANN OREGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5358 E BASELINE ROAD, MESA, AZ 85206
(480) 699-9624
Mailing address
22703 S 174TH PL, GILBERT, AZ 85298-8867
(480) 664-8966
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5542
AZ
Other
Enumeration date
04/12/2011
Last updated
06/09/2011
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