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1306529995
SAMANTHA STACK
SAN DIEGO, CA
NPI
1306529995
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Former Name
SAMANTHA CLIFTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-08-09
Last Update Date
2024-12-23
Business Address
SAMANTHA STACK PT, DPT
3145 ROSECRANS ST STE F
SAN DIEGO, CA 92110-4831
Phone number: 619-223-7175
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Mailing Address
SAMANTHA STACK PT, DPT
3959 RUFFIN RD STE J
SAN DIEGO, CA 92123-1830
Phone number: 858-279-5570
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