Individual
DR. STEPHANIE ADA IACOBELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
3666 KEARNY VILLA RD, SAN DIEGO, CA 92123-1951
(858) 499-2600
Mailing address
3634 31ST ST, SAN DIEGO, CA 92104-4204
(760) 809-4603
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
0012628
CA
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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