| NPI | 1174231583 |
|---|---|
| Former Name | PAMELA ANN STEWART-CREGG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 9831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040.0134454) |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |