Individual
CALEB W STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1101 E OCEAN AVE, LOMPOC, CA 93436-7096
(805) 735-8365
Mailing address
1101 E OCEAN AVE, LOMPOC, CA 93436-7096
(805) 735-8365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 26087
CA
Other
Enumeration date
06/06/2006
Last updated
07/26/2012
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