Provider Demographics
NPI:1922638246
Name:STONE, PENNY LOUISE (PT)
Entity Type:Individual
Prefix:
First Name:PENNY
Middle Name:LOUISE
Last Name:STONE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3111 ANNA CADE CIR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-7425
Mailing Address - Country:US
Mailing Address - Phone:972-839-0752
Mailing Address - Fax:
Practice Address - Street 1:3111 ANNA CADE CIR
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-7425
Practice Address - Country:US
Practice Address - Phone:972-839-0752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-26
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty