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NPI Code Detail

MEDICARE: LAURIE JASALYN STONE PT

MEDICARE: LAURIE JASALYN STONE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1136430TX

General Provider Information

NPI Number : 1447275086
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE JASALYN STONE PT
Provider Business Mailing Address
First Line : 403 STATE HIGHWAY 110 N
Second Line : PO BOX 415
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-839-1000
Fax Number : 903-839-4000
Provider Business Practice Location Address
First Line : 403 STATE HIGHWAY 110 N
Second Line :
City : WHITEHOUSE
State : TX
Zip : 75791-3109
Country : US
Telephone Number : 903-839-1000
Fax Number : 903-839-4000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 07/08/2007

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Directions to “ LAURIE JASALYN STONE PT” Practice Location

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