Individual
KYLIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3141 BROAD ST, RUSHVILLE, OH 43150-9657
(740) 415-5316
Mailing address
3141 BROAD ST, RUSHVILLE, OH 43150-9657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011991
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2021
Last updated
07/26/2023
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