Individual
DIANE M STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9815 BENT BRANCH LN, DALLAS, TX 75243-2017
(214) 226-1407
Mailing address
9815 BENT BRANCH LN, DALLAS, TX 75243-2017
(214) 226-1407
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT030662
TX
Other
Enumeration date
01/02/2011
Last updated
01/02/2011
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