Individual
ALICIA M STUFOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
115 W ALLEN AVE, SAN DIMAS, CA 91773-1437
(909) 971-8200
Mailing address
1428 LESTER CIR, WAXHAW, NC 28173-0329
(626) 833-9004
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4223
CA
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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