Provider Demographics
NPI:1518286228
Name:STONE, ROBERT MARION III (DPT)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARION
Last Name:STONE
Suffix:III
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 SIGMON RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-3572
Mailing Address - Country:US
Mailing Address - Phone:704-736-1802
Mailing Address - Fax:704-736-1803
Practice Address - Street 1:132 SIGMON RD
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-3572
Practice Address - Country:US
Practice Address - Phone:704-736-1802
Practice Address - Fax:704-736-1803
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11366225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist