Individual
JEREMY DUANE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
156 STURM ST, NEW HAVEN, IN 46774-1141
(260) 438-7685
Mailing address
156 STURM ST, NEW HAVEN, IN 46774-1141
(260) 438-7685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004402A
IN
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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