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Individual

VIRGINIA A STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3442 EASTDALE CIR, MONTGOMERY, AL 36117-2163
(334) 279-5757
(334) 279-1257
Mailing address
2621 QUEENS HOLLOW CT, MONTGOMERY, AL 36117-6826
(334) 279-5757
(334) 279-1257

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH1444
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-32302
BCBS #
AL
Enumeration date
05/02/2006
Last updated
08/18/2016
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