Individual
MRS. AMY LYN STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4560 SE INTERNATIONAL WAY SUITE 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY SUITE 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5149
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3270026
WI
314000000X
Skilled Nursing Facility
3270-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40820400
—
WI
Enumeration date
05/14/2007
Last updated
05/22/2008
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