JEROME STEWART

DALLAS, TX
NPI1962954701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2118456)
Enumeration Date2016-10-27
Last Update Date2016-10-27
Business Address
JEROME STEWART LPTA
8600 SKYLINE DR
DALLAS, TX 75243-4198
Phone number: 214-355-9108
Mailing Address
JEROME STEWART LPTA
211 ALTHEA RD
ROCKWALL, TX 75032-6103
Phone number: 903-486-2165