Provider Demographics
NPI:1952304248
Name:LOBITZ-STEARNS, CAROL S (MA, PT, OCS)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:LOBITZ-STEARNS
Suffix:
Gender:F
Credentials:MA, PT, OCS
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:S
Other - Last Name:LOBITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, PT, OCS
Mailing Address - Street 1:700 E EL CAMINO REAL
Mailing Address - Street 2:STE 130
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-2805
Mailing Address - Country:US
Mailing Address - Phone:650-964-5523
Mailing Address - Fax:650-964-5981
Practice Address - Street 1:700 E EL CAMINO REAL
Practice Address - Street 2:STE 130
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2805
Practice Address - Country:US
Practice Address - Phone:650-964-5523
Practice Address - Fax:650-964-5981
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPT104810Medicare ID - Type Unspecified