Individual
MRS. JUDY LEE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814
(541) 523-8130
Mailing address
42768 NEW BRIDGE RD, RICHLAND, OR 97870
(541) 893-6924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7750
OR
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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