Individual
HETTIE HAGUE STEWART
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
605 NORTH AVE, VILLA RICA, GA 30180-1206
(770) 456-3472
(770) 456-3230
Mailing address
605 NORTH AVE, VILLA RICA, GA 30180-1206
(770) 456-3472
(770) 456-3230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007170
GA
Other
Enumeration date
04/13/2006
Last updated
07/09/2007
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