Individual
KATELYN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
Mailing address
3023 S FORT AVE STE B, SPRINGFIELD, MO 65807-4217
(417) 890-4656
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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