RONALD PERRY STEWART

AMIGO, WV
NPI1164724753
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  PTA 001360)
Enumeration Date2010-12-02
Last Update Date2010-12-02
Business Address
RONALD PERRY STEWART PTA
178 YUMA LANE
AMIGO, WV 25811
Phone number: 304-774-0196
Mailing Address
RONALD PERRY STEWART PTA
P.O. BOX 97
AMIGO, WV 25811
Phone number: 304-774-0196