Individual provider · Type 1 NPI

Stacy Smith

Rehabilitation Practitioner · Covina, CA

NPI number 1114057791 Active

Practice location

1411 N Grand Ave, 100
Covina, CA 91724-1001

Call (626) 395-7100 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1114057791

Stacy Smith's National Provider Identifier is 1114057791, issued on Mar 6, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Covina, CA. The record was last updated on Jun 25, 2013.