STACI A. SELF

SAN CLEMENTE, CA
NPI1437458411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT37667)
Enumeration Date2011-03-16
Last Update Date2011-03-16
Business Address
-- STACI A. SELF P.T.
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673-2808
Phone number: 949-496-0122
Mailing Address
-- STACI A. SELF P.T.
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673-2808
Phone number: 949-496-0122
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