Individual
STACEY DUSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1640 MARENGO ST, LOS ANGELES, CA 90033-1036
(323) 442-1022
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-1022
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
300111
CA
Other
Enumeration date
04/20/2022
Last updated
05/20/2022
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