Individual
SHANIQUA KYEON STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12420 WILDCAT DR UNIT B, NORTHPORT, AL 35475-4587
(205) 409-6090
(205) 409-6098
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015594
GA
225100000X
Physical Therapist
PTH10637
AL
Other
Enumeration date
09/14/2021
Last updated
07/27/2022
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