Stanford And Associates Physical Therapy, INC.
Physical Therapist, Orthopedic in Big Bear Lake, CA. Organization (NPI-2).
NPI number1245296367
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1245296367
- Entity type
- Organization (NPI-2)
- Legal business name
- Stanford And Associates Physical Therapy, INC.
- Organization subpart
- No
- Enumeration date
- Apr 26, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251X0800X | Physical Therapist, Orthopedic | PT26941 | CA | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | PT19301 | CA | |
| 2251E1200X | Physical Therapist, Ergonomics | PT19301 | CA |
Practice location
42007 Fox Farm Rd.Suite #2
Big Bear Lake, CA 92315
Phone 909-866-6202 · Fax 909-866-6203
Mailing address
Po Box 1928Blue Jay, CA 92317-1928
Phone 909-866-6202 · Fax 909-866-6203
Authorized official
Mary S Stanford
President
9098666202
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