Individual
DR. MARISSA DEAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 FODEN RD WEST, SUITE 205, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483
Mailing address
100 FODEN RD WEST, SUITE 203, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3917
ME
Other
Enumeration date
07/23/2012
Last updated
01/04/2013
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