Individual
MS. SHARON LEE STUPAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4655 RUFFNER ST, SAN DIEGO, CA 92111-2275
(714) 369-8312
Mailing address
5142 DUNBAR AVE APT A, HUNTINGTON BEACH, CA 92649-5185
(714) 369-8312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1402
CA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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