Provider Demographics
NPI:1588277297
Name:STONE, VALERIE JORDAN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:JORDAN
Last Name:STONE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6505 W WEST WIND DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85310-3459
Mailing Address - Country:US
Mailing Address - Phone:928-925-9246
Mailing Address - Fax:
Practice Address - Street 1:25101 N LAKE PLEASANT PKWY # B-1340
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1386
Practice Address - Country:US
Practice Address - Phone:623-471-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31394225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist