Individual
AMY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1912 E FRANKLIN RD, MERIDIAN, ID 83642-5906
(208) 342-4659
(208) 342-8211
Mailing address
1912 E FRANKLIN RD, MERIDIAN, ID 83642-5906
(208) 342-4659
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03767
—
224P00000X
Prosthetist
Primary
CPO03767
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO03767
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, AND PEDORTHICS
—
Enumeration date
11/04/2020
Last updated
11/04/2020
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