Organization
STOKED PHYSIO
Active
Organization
STOKED PHYSIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRA GABELMAN (DIRECTOR OF OPERATIONS)
(831) 475-2565
Entity
Organization
Contact information
Practice address
2724 SOQUEL AVE STE B, SANTA CRUZ, CA 95062-1434
(831) 475-2565
Mailing address
2724 SOQUEL AVE STE B, SANTA CRUZ, CA 95062-1434
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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