| NPI | 1790931400 |
|---|---|
| Former Name | MANDI LASHEA STONER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 34857) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00010707) |
| 225100000X Physical Therapist (Licence: MS 5038) | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2021-04-15 |