Individual
MICKEY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1765 OLD WEST BROAD ST, BLDG 2, STE 100, ATHENS, GA 30606-2853
(706) 549-1663
Mailing address
1765 OLD WEST BROAD ST, BLDG 2, STE 100, ATHENS, GA 30606-2853
(706) 549-1663
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT002378
GA
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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