Provider Demographics
NPI:1356736391
Name:STONE, RONALD G (OTR/L)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:G
Last Name:STONE
Suffix:
Gender:M
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 1:7130 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-1402
Mailing Address - Country:US
Mailing Address - Phone:253-278-1682
Mailing Address - Fax:253-756-2040
Practice Address - Street 1:7130 N 13TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-1402
Practice Address - Country:US
Practice Address - Phone:253-278-1682
Practice Address - Fax:253-756-2040
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000781225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist