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Individual

MRS. KATHLEEN STEWART

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2875 BARN RD, STE 100, CHRISTIANSBURG, VA 24073-6361
(540) 639-5786
(540) 633-0787
Mailing address
2875 BARN RD, STE 100, CHRISTIANSBURG, VA 24073-6361
(540) 639-5786
(540) 633-0787

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0105001727
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
064824
ANTHEM
VA
Enumeration date
06/21/2005
Last updated
07/08/2007
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