Individual
KATHRYN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
619 S KNIK GOOSE BAY RD, SUITE H, WASILLA, AK 99654-8075
(907) 315-7949
Mailing address
6811 W SCATTERS WAY, WASILLA, AK 99623-0878
(907) 841-1479
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2608
AK
Other
Enumeration date
08/26/2015
Last updated
01/23/2017
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