Organization
STEWART PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE JILL STEWART MSPT (PHYSICAL THERAPIST/OWNER)
(870) 476-9017
Entity
Organization
Contact information
Practice address
1908 MOCKINGBIRD LANE, SUITE A, PARAGOULD, AR 72450
(870) 476-9017
(870) 362-2018
Mailing address
151 GREENE 789 RD, PARAGOULD, AR 72450-5990
(870) 476-9017
(870) 362-2018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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