Individual
CARISSA LEE REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
24012 CALLE DE LA PLATA STE 200, LAGUNA HILLS, CA 92653-7624
(949) 583-9251
Mailing address
24012 CALLE DE LA PLATA STE 200, LAGUNA HILLS, CA 92653-7624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
37306
CA
Other
Enumeration date
01/10/2011
Last updated
07/03/2012
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