Individual
MARY C STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
404 CAMINO DEL RIO S, #508, SAN DIEGO, CA 92108-3503
(800) 227-0457
Mailing address
404 CAMINO DEL RIO S, #508, SAN DIEGO, CA 92108-3503
(800) 227-0457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5263
CA
Other
Enumeration date
08/13/2008
Last updated
08/06/2012
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