Individual
MR. SHAYNE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433
(651) 336-9908
Mailing address
9120 SPRINGBROOK DR NW, COON RAPIDS, MN 55433-5845
(651) 336-9908
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
106986
MN
Other
Enumeration date
07/20/2018
Last updated
01/25/2023
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