NPI | 1447208970 |
---|---|
Former Name | STACEY L STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007947) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-05-05 |
Last Update Date | 2019-02-11 |