Individual
MRS. ANGELA GAYLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8121 E HIGHWAY 69, KANSAS CITY, MO 64119-3186
(816) 414-5808
(816) 414-5810
Mailing address
7736 NE 55TH ST, KANSAS CITY, MO 64119-4106
(816) 645-3272
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2007034748
MO
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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