Provider Demographics
NPI:1720231285
Name:STONE, HEATHER M (PT, DPT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:STONE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3727 BUCHANAN STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-1779
Mailing Address - Country:US
Mailing Address - Phone:415-614-0590
Mailing Address - Fax:415-593-7974
Practice Address - Street 1:215 FREMONT STREET
Practice Address - Street 2:SUITE 7A
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-2311
Practice Address - Country:US
Practice Address - Phone:415-318-8138
Practice Address - Fax:415-956-3352
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA35034225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist