Individual
ALLYSON STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
275 W HOSPITALITY LN STE 103, SAN BERNARDINO, CA 92408-3238
(909) 567-2221
Mailing address
1400 BARTON RD APT 2710, REDLANDS, CA 92373-5443
(479) 220-7265
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302882
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302882
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
09/21/2022
Last updated
09/21/2022
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