| Doctor Name: | STEPHANIE D HASSIBI |
| NPI Number: | 1205010048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT 22428 |
| Business Practice Address: | 4150 Regents Park Row #365 La Jolla, CA - 920379124 |
| Business Phone Number: | 8585878669 |
| Business Fax Number: | 8585878675 |
| Mailing Address: | 5611 Palmer Way, Suite A CARLSBAD |
| State: | CA |
| Postal Code: | 920107253 |
| Phone Number: | 7606039166 |
| Fax Number: | 7606039161 |
| NPI Enumeration Date: | 12/27/2007 |
| NPI Last Update Date: | 12/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT 22428 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |