Individual
TERRI STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1313 S ST, BRIDGEPORT, NE 69336-2563
(308) 262-1600
Mailing address
1313 S ST, BRIDGEPORT, NE 69336-2563
(308) 262-1600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1642
NE
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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