Individual
MRS. CONNIE LYNN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA 002094
Contact information
Practice address
511 BURROUGHS ST, MORGANTOWN, WV 26505-0307
(304) 285-5500
(304) 285-2787
Mailing address
648 PARK ST, MORGANTOWN, WV 26501-6960
(240) 321-4532
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002094
WV
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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