Stutz, Sara Martha
Stutz, Sara Martha is an sole proprietor health care provider with primary practice located at 752 Ensenada Ave , Berkeley CA 94707-1809. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Stutz, Sara Martha can be contacted via phone (510) 375-5420.Contact Information
Primary practice address
752 Ensenada Ave
Berkeley CA 94707-1809
Phone: (510) 375-5420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT18410 | California |
Profile Details
| NPI number | 1215433883 |
|---|---|
| LBN Legal business name | Stutz, Sara Martha |
| Credentials | PHYSICAL THERAPIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2018 |
| Last updated | Jun 16th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215433883 | NPPES |
| California | Other | PT18410 | PHYSICAL THERAPY BOARD OF CALIFORNIA |
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