Individual
JACQUELYNN LOUIS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2117 E TYLER AVE STE B, HARLINGEN, TX 78550-7212
(956) 440-0580
Mailing address
1217 E CROCKETT AVE, HARLINGEN, TX 78550-8878
(956) 793-5734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2047595
TX
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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