Individual
SARAH MELISSA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
408 N CHURCH ST, ATKINS, AR 72823-0000
(479) 495-0651
(479) 495-3617
Mailing address
1530 E 11TH CV, RUSSELLVILLE, AR 72802-2426
(479) 567-6677
(479) 495-3407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2551
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA2551
ARKANSAS LICENSE
AR
Enumeration date
11/17/2015
Last updated
11/17/2015
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