Individual
ALEXANDRA GRACE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
555 E BROADWAY AVE # 100, JACKSON, WY 83001-8640
(307) 739-1864
Mailing address
1152 S PARK LOOP RD UNIT E, JACKSON, WY 83001-9598
(770) 827-0330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1577
WY
225X00000X
Occupational Therapist
OT007584
GA
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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