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Organization

THERASTAFF LLC

Active
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Organization

THERASTAFF LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM STONE (PRESIDENT)
(619) 260-3914
Entity
Organization

Contact information

Practice address
2355 NORTHSIDE DR, SUITE 100, SAN DIEGO, CA 92108-2705
(800) 458-7777
(800) 863-2978
Mailing address
2355 NORTHSIDE DR, SUITE 100, SAN DIEGO, CA 92108-2705
(800) 458-7777
(800) 863-2978

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Enumeration date
06/07/2016
Last updated
06/07/2016
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