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NPI Code Detail

MEDICARE: ALICIA M STUFOSO OT

MEDICARE: ALICIA M STUFOSO OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist4223CA

General Provider Information

NPI Number : 1326905654
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA M STUFOSO OT
Provider Business Mailing Address
First Line : 1428 LESTER CIR
Second Line :
City : WAXHAW
State : NC
Zip : 28173-0329
Country : US
Telephone Number : 626-833-9004
Fax Number :
Provider Business Practice Location Address
First Line : 115 W ALLEN AVE
Second Line :
City : SAN DIMAS
State : CA
Zip : 91773-1437
Country : US
Telephone Number : 909-971-8200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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Directions to “ ALICIA M STUFOSO OT” Practice Location

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