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Organization
STAC PHYSICAL THERAPY LAGUNA, INC
Active
Organization
STAC PHYSICAL THERAPY LAGUNA, INC
Active
Other names
Laguna Physical Therapy and Hand Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
OR NATIV (DIRECTOR/PRESIDENT)
(650) 796-4048
Entity
Organization
Contact information
Practice address
9563 LAGUNA SPRINGS DR, ELK GROVE, CA 95758-8204
(916) 691-9822
(916) 691-9448
Mailing address
4432 FIR AVE, SEAL BEACH, CA 90740-2906
(714) 904-2703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
11/06/2019
Last updated
03/28/2025
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