Individual
JERRY PASCHAL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2134 OLD ASHLAND CITY RD, CLARKSVILLE, TN 37043-4972
(931) 552-3002
Mailing address
3340 VICTORIA CT, CLARKSVILLE, TN 37043-7866
(931) 603-6036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5981
TN
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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