Individual
KARIN STOFFERAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1628 B ST, HAYWARD, CA 94541-3020
(510) 582-4636
Mailing address
5820 LORING DR, MOUND, MN 55364-9429
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
49835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R59591220
BLUE CROSS BLUE SHIELD
—
Enumeration date
03/06/2019
Last updated
03/06/2019
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