Provider Demographics
NPI:1821276205
Name:STONING, BRIAN (MSPT)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:
Last Name:STONING
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CRANE BROOK RD
Mailing Address - Street 2:
Mailing Address - City:LANGDON
Mailing Address - State:NH
Mailing Address - Zip Code:03602-8527
Mailing Address - Country:US
Mailing Address - Phone:603-835-2440
Mailing Address - Fax:
Practice Address - Street 1:201 CRANE BROOK RD
Practice Address - Street 2:
Practice Address - City:LANGDON
Practice Address - State:NH
Practice Address - Zip Code:03602-8527
Practice Address - Country:US
Practice Address - Phone:603-835-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2632225100000X
VT040-0003356225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist