Stanford, Mary S

Stanford, Mary S is an individual health care provider with primary practice located at 42007 Fox Farm Rd. Suite #2, Big Bear Lake CA 92315. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics is her primary health care specialty. Stanford, Mary S can be contacted via phone (909) 866-6202.

Contact Information

Primary practice address
42007 Fox Farm Rd. Suite #2 Big Bear Lake CA 92315
Phone: (909) 866-6202
Fax: (909) 866-6203
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics 2251E1200X PT19301 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT19301 California

Profile Details

NPI number 1396701355
LBN Legal business name Stanford, Mary S
Credentials P.T., O.C.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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