Individual
TRISHA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
711 HALL ST, WIGGINS, MS 39577-2105
(601) 928-5511
(601) 928-6110
Mailing address
2416 HIGHWAY 45 N, COLUMBUS, MS 39705-1320
(662) 327-6705
(662) 327-6760
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5237
MS
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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