Provider Demographics
NPI:1164858718
Name:STONE, CARA JANINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:JANINE
Last Name:STONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:JANINE
Other - Last Name:PAINTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3900 FAIRFAX DR
Mailing Address - Street 2:APT 1201
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1661
Mailing Address - Country:US
Mailing Address - Phone:918-261-1241
Mailing Address - Fax:
Practice Address - Street 1:6251 OLD DOMINION DR
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-4827
Practice Address - Country:US
Practice Address - Phone:703-536-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-15
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006051225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist