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NPI Code Detail

MEDICARE: ALICE STONER MOT, OTR/L

MEDICARE:   ALICE  STONER  MOT, OTR/L
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
1225X00000XOccupational Therapist6070AZ
2225XP0200XPediatric Occupational Therapist6070AZ

General Provider Information

NPI Number : 1588190201
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE STONER MOT, OTR/L
Provider Business Mailing Address
First Line : 4830 E MELINDA LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-6112
Country : US
Telephone Number : 319-360-5196
Fax Number :
Provider Business Practice Location Address
First Line : 4830 E MELINDA LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85054-6112
Country : US
Telephone Number : 319-360-5196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2017
Last Update Date : 05/02/2017

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Directions to “ ALICE STONER MOT, OTR/L” Practice Location

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