Individual
MRS. PATRICIA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
360 E ENON RD, YELLOW SPRINGS, OH 45387-1415
(937) 767-1303
Mailing address
324 BEDFORD AVE, XENIA, OH 45385-5318
(937) 272-8045
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OH OTA 3021
OH
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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