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Organization
S&G SANTOSHA, INC.
Active
Organization
S&G SANTOSHA, INC.
Active
Other names
Stacey Smith Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SMITH MPT (PHYSICAL THERAPIST)
(310) 458-0898
Entity
Organization
Contact information
Practice address
1502 MONTANA AVE STE 207, SANTA MONICA, CA 90403-1875
(310) 458-0898
Mailing address
1502 MONTANA AVE STE 207, SANTA MONICA, CA 90403-1875
(310) 458-0898
(310) 458-6758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22447
CA
Other
Enumeration date
12/12/2006
Last updated
06/24/2008
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