Organization
STANFORD AND ASSOCIATES PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY S STANFORD P.T., O.C.S. (PRESIDENT)
(909) 866-6202
Entity
Organization
Contact information
Practice address
42007 FOX FARM RD., SUITE #2, BIG BEAR LAKE, CA 92315
(909) 866-6202
(909) 866-6203
Mailing address
PO BOX 1928, BLUE JAY, CA 92317-1928
(909) 866-6202
(909) 866-6203
Taxonomy
Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
PT19301
CA
2251X0800X
Orthopedic Physical Therapist
PT19301
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT26941
CA
Other
Enumeration date
04/26/2006
Last updated
09/11/2025
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