Individual
MRS. KATHYN STIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18655 W BERNARDO DR, SAN DIEGO, CA 92127-3002
(858) 592-1859
(858) 592-1862
Mailing address
18655 W BERNARDO DR, SAN DIEGO, CA 92127-3002
(858) 592-1859
(858) 592-1869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
35
CA
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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