Provider Demographics
NPI:1912744475
Name:STONEHOUSE, PAULA
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:
Last Name:STONEHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3702 OLD COBBLE RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-4050
Mailing Address - Country:US
Mailing Address - Phone:858-888-2622
Mailing Address - Fax:
Practice Address - Street 1:120 C AVE STE 110
Practice Address - Street 2:
Practice Address - City:CORONADO
Practice Address - State:CA
Practice Address - Zip Code:92118-1992
Practice Address - Country:US
Practice Address - Phone:858-225-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic