Provider Demographics
NPI:1891767919
Name:STONE, ANGELA S (OTR L)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:S
Last Name:STONE
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1087 13TH ST SE
Mailing Address - Street 2:CHILDRENS NEUROTHERAPY SERVICES
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-4165
Mailing Address - Country:US
Mailing Address - Phone:828-267-1688
Mailing Address - Fax:828-268-1690
Practice Address - Street 1:1087 13TH ST SE
Practice Address - Street 2:CHILDRENS NEUROTHERAPY SERVICES
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4165
Practice Address - Country:US
Practice Address - Phone:828-267-1688
Practice Address - Fax:828-268-1690
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4828225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7301554Medicaid
11313108OtherCAQH
NCB6419OtherMEDCOST
9248630OtherPHCS
NC131E9OtherBCBS