Individual
MR. SAMUEL MICHAEL STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
1351 ROBINWOOD RD, GASTONIA, NC 28054-1693
(704) 867-2319
Mailing address
3711 MITCHEM RD, GASTONIA, NC 28054-3090
(704) 830-4296
(704) 824-2939
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2040
NC
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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