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1083437818
KYLE STEWART
PORTAGE, IN
NPI
1083437818
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06006779A)
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
KYLE STEWART PTA
3691 WILLOWCREEK RD STE 100
PORTAGE, IN 46368-5000
Phone number: 219-759-4380
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Mailing Address
KYLE STEWART PTA
1503 OHIO ST
LA PORTE, IN 46350-4443
Phone number: 219-393-9845
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