Individual
STEPHANIE ALLDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1027 N HARBOR BLVD # B, FULLERTON, CA 92832-1310
(714) 870-8478
(714) 870-8405
Mailing address
1027 N HARBOR BLVD # B, FULLERTON, CA 92832-1310
(714) 870-8478
(714) 870-8405
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT38600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT38600
LICENSE
CA
Enumeration date
05/13/2012
Last updated
05/13/2012
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