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Individual

MR. STEWART ONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1801 FOREST HILLS BLVD, STE 205, BELLA VISTA, AR 72715-3016
(479) 855-9348
(479) 855-9358
Mailing address
1801 FOREST HILLS BLVD, STE. 205, BELLA VISTA, AR 72715-3016
(479) 855-9348
(479) 855-9358

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2113
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
143683721
AR
01
5W438
BCBS
AR
Enumeration date
05/10/2006
Last updated
12/30/2009
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