Individual
KATHERINE MANGET STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Mailing address
3125 INDEPENDENCE DR, 300B, BIRMINGHAM, AL 35209-4159
(205) 879-7501
(205) 879-0675
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH5781
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0009949529
AETNA PIN
—
01
—
51103840
BLUE CROSS BLUE SHIELD OF ALABAMA PTAN
AL
01
—
PTH5781
AL STATE LICENCE NUMBER
AL
Enumeration date
03/11/2010
Last updated
08/02/2023
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