Individual
KAREN JANNETTE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
36 PROFESSIONAL PLZ STE 110, REXBURG, ID 83440-2049
(208) 359-9570
Mailing address
520 W 7TH S APT 118, REXBURG, ID 83440-2481
(208) 243-0291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2333
ID
Other
Enumeration date
09/07/2022
Last updated
03/01/2023
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