Individual
SARA MARTHA STUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
752 ENSENADA AVE, BERKELEY, CA 94707-1809
(510) 375-5420
Mailing address
1569 SOLANO AVE # 525, BERKELEY, CA 94707-2116
(510) 375-5420
(510) 280-2556
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT18410
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT18410
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
04/03/2018
Last updated
06/16/2018
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