Individual
MARY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-3511
Mailing address
1199 PRINCE AVE, ATHENS, GA 30606-2797
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001845
GA
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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