STACY SMITH

Rehabilitation Practitioner

Active Individual
NPI: 1114057791

Practice Address

1411 N GRAND AVE
100
Covina, CA 91724

Phone: (626) 395-7100

Specialties

Specialty Code Primary License
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1114057791 is the National Provider Identifier for STACY SMITH, a Rehabilitation Practitioner provider located in Covina, CA. This NPI was enumerated on March 6, 2007.
STACY SMITH practices at 1411 N GRAND AVE, 100, Covina, CA 91724.

Quick Facts

NPI
1114057791
Type
Individual
Enumerated
Mar 6, 2007
Last Updated
Jun 25, 2013

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