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Organization
STUART HARRIS BAY AREA PHYSICAL THERAPY
Active
Organization
STUART HARRIS BAY AREA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE LASSON (VICE PRESIDENT)
(408) 570-0510
Entity
Organization
Contact information
Practice address
911 MORAGA RD, #103, LAFAYETTE, CA 94549-4579
(925) 284-3840
(925) 284-3873
Mailing address
911 MORAGA RD, #103, LAFAYETTE, CA 94549-4579
(925) 284-3840
(925) 284-3873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1047914
CIGNA
CA
01
—
171468600
DOL
CA
01
—
8157055
AETNA
CA
01
—
ZZZ45863Z
BLUESHIELD
CA
Enumeration date
11/03/2005
Last updated
06/26/2008
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