Provider Demographics
NPI:1689109688
Name:MANY STONES CHILDREN'S SERVICES, PLLC
Entity Type:Organization
Organization Name:MANY STONES CHILDREN'S SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEDGERWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:276-608-2578
Mailing Address - Street 1:11059 MOUNT CALM DR
Mailing Address - Street 2:
Mailing Address - City:GLADE SPRING
Mailing Address - State:VA
Mailing Address - Zip Code:24340-5011
Mailing Address - Country:US
Mailing Address - Phone:276-608-2578
Mailing Address - Fax:
Practice Address - Street 1:11059 MOUNT CALM DR
Practice Address - Street 2:
Practice Address - City:GLADE SPRING
Practice Address - State:VA
Practice Address - Zip Code:24340-5011
Practice Address - Country:US
Practice Address - Phone:276-608-2578
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-27
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050017822251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty