Individual
STEPHEN CHRISTOPHER POLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
39 CONGRESS ST, SUITE 303, PASADENA, CA 91105-3024
(626) 449-5005
Mailing address
39 CONGRESS ST, SUITE 303, PASADENA, CA 91105-3024
(626) 449-5005
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT25192
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT251920
BLUE SHIELD INDIV PROVID#
CA
01
—
PT25192
BLUE CROSS INDIV PROVID#
CA
Enumeration date
01/25/2007
Last updated
07/28/2009
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