| Doctor Name: | MR. JOSHUA JON STEFANIK |
| NPI Number: | 1053394056 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT01767 |
| Business Practice Address: | 101 Bodin Cir Travis Afb, CA - 945351809 |
| Business Phone Number: | 7074237899 |
| Business Fax Number: | 7074237805 |
| Mailing Address: | 1000 Allison Dr, VACAVILLE |
| State: | CA |
| Postal Code: | 956874986 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT01767 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |