NPI | 1528129277 |
---|---|
Former Name | DEBRA ANN STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AL 00017127) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 028897) |
208100000X Physical Medicine & Rehabilitation (Licence: NY 1615201) | |
208100000X Physical Medicine & Rehabilitation (Licence: PA 033718E) | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2012-06-05 |