Individual provider · Type 1 NPI
Elyse Claire Stafford, PTA
Rehabilitation Practitioner · Newbury Park, CA
NPI number
1396865366
Active
Practice location
575 Evergreen Ave
Newbury Park, CA 91320-5127
Fax (805) 499-9106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 936 (CA) |
| Rehabilitation Practitioner Primary | 225400000X | AT 936 (CA) |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Other rehabilitation practitioner providers in Newbury Park
About NPI 1396865366
Elyse Claire Stafford, PTA's National Provider Identifier is 1396865366, issued on Mar 30, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Newbury Park, CA. The record was last updated on Sep 11, 2025.