| NPI | 1497176101 |
|---|---|
| Former Name | JACQUELINE ANN STEWART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032924-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 21432) |
| 225100000X Physical Therapist (Licence: VT 040.0071130) | |
| 2251C2600X (Licence: NY 032924-1) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 032924-1) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 032924-1) | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2023-05-10 |