Stephanie Nava, DPT | |
6601 Rugby Ave Ste 401, Huntington Park, CA 90255-4047 | |
(323) 589-5000 | |
Not Available |
Full Name | Stephanie Nava |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 6601 Rugby Ave Ste 401, Huntington Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083314397 | NPI | - | NPPES |
PT302714 | Other | CA | PHYSICAL THERAPIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT302714 (California) | Primary |
Provider Name | Ilya Kaminsky Dc A Professional Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417128125 PECOS PAC ID: 8325190168 Enrollment ID: O20090709000139 |
Mailing Address | Practice Location Address |
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Stephanie Nava, DPT 6601 Rugby Ave Ste 401, Huntington Park, CA 90255-4047 Ph: (323) 589-5000 | Stephanie Nava, DPT 6601 Rugby Ave Ste 401, Huntington Park, CA 90255-4047 Ph: (323) 589-5000 |
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