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1670 S AMPHLETT BLVD SUITE 123 SAN MATEO CA 944022512
JERILYN STALFORD is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1134273642. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3577625854. The primary specialty is PHYSICAL THERAPY. The organization is ABA PHYSCIAL THERAPY ASSOCIATES PC.. The address is 1670 S AMPHLETT BLVD, SUITE 123, SAN MATEO, CA, 944022512. The zip code is 944022512.
|Nation Provider ID||1134273642|
|PAC ID by PECOS||3577625854|
|Professional Enrollment ID||I20090615000481|
|Medical School Name||UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE|
|Primary Specialty||PHYSICAL THERAPY|
|All secondary specialties|
|Organization Name||ABA PHYSCIAL THERAPY ASSOCIATES PC.|
|Group Practice PAC ID||6709935463|
|Number of Group Practice members||7|
|Address||1670 S AMPHLETT BLVD, SUITE 123, SAN MATEO, CA, 944022512|
|Hospital affiliation LBN|