Individual
MRS. TONYA BOATWRIGHT STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1617 MALLARD LN, FLORENCE, SC 29501-6392
(843) 536-0881
Mailing address
2191 SUNVUE DRIVE, FLORENCE, SC 29506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1058
SC
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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