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Organization
IN STRIDE PHYSICAL THERAPY & REHAB, INC.
Active
Organization
IN STRIDE PHYSICAL THERAPY & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALLI VAN SUNDER DPT (PRESIDENT)
(831) 657-0177
Entity
Organization
Contact information
Practice address
581 LIGHTHOUSE AVE, PACIFIC GROVE, CA 93950-2646
(831) 657-0177
(831) 508-8998
Mailing address
PO BOX 136, PACIFIC GROVE, CA 93950-0136
(831) 657-0177
(831) 508-8998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT26302
CA
225X00000X
Occupational Therapist
—
CA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/28/2014
Last updated
03/27/2017
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