Provider Demographics
NPI:1457630469
Name:STONE, STEPHANIE LEE (LPTA)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:LEE
Last Name:STONE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27175 W BELPRE PIKE
Mailing Address - Street 2:
Mailing Address - City:COOLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45723-9701
Mailing Address - Country:US
Mailing Address - Phone:740-440-0994
Mailing Address - Fax:
Practice Address - Street 1:27175 W BELPRE PIKE
Practice Address - Street 2:
Practice Address - City:COOLVILLE
Practice Address - State:OH
Practice Address - Zip Code:45723-9701
Practice Address - Country:US
Practice Address - Phone:740-440-0994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08097225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant