Individual
LINDA D STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1083 PRAIRIE ZINNIA DR, BERNALILLO, NM 87004-5801
(505) 933-7994
(505) 930-7136
Mailing address
1083 PRAIRIE ZINNIA DR, BERNALILLO, NM 87004-5801
(205) 901-0743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51502735
BCBS
AL
01
—
51531831
BCBS
AL
Enumeration date
06/15/2006
Last updated
05/07/2020
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