Individual
STACEY LAIBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
250 EL CAMINO REAL, SUITE 100, TUSTIN, CA 92780-3655
(714) 838-6999
Mailing address
250 EL CAMINO REAL, SUITE 100, TUSTIN, CA 92780-3655
(714) 838-6999
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
PT34236
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT34236
CA
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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