Individual
BRENDA LEE STEWART-BEZILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
429 MANOR DRIVE, EBENSBURG, PA 15931
(814) 472-6060
(814) 472-1293
Mailing address
3299 AIRPORT RD, INDIANA, PA 15701-6427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
TE1000116
PA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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