Provider Demographics
NPI:1669602272
Name:STONEHOUSE STAFFING
Entity type:Organization
Organization Name:STONEHOUSE STAFFING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:MULLENHOLZ
Authorized Official - Last Name:EMERY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:703-534-0505
Mailing Address - Street 1:105 N VIRGINIA AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3323
Mailing Address - Country:US
Mailing Address - Phone:703-534-0505
Mailing Address - Fax:866-681-0990
Practice Address - Street 1:105 N VIRGINIA AVE STE 306
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3342
Practice Address - Country:US
Practice Address - Phone:703-534-0505
Practice Address - Fax:866-681-0990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203344261QP2000X
VA2305003368261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy