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Individual
SHANA STEWART
Active
Individual
SHANA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028331-1
NY
225100000X
Physical Therapist
40QA01228800
NJ
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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