Individual
JILL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36397 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7335
(480) 567-2987
Mailing address
30624 N REBECCA LN, SAN TAN VALLEY, AZ 85143-4627
(480) 240-0531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12551A
AZ
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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