Individual
MS. LINDA GRACE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA268
TN
225700000X
Massage Therapist
MT2336
TN
Other
Enumeration date
08/23/2008
Last updated
08/23/2008
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