Individual
MR. RICHARD STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 E JOHNSON AVE APT 203, PENSACOLA, FL 32514-4664
(850) 449-6516
Mailing address
1500 E JOHNSON AVE APT 203, PENSACOLA, FL 32514-4664
(850) 449-6516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
17692
FL
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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