Individual
MARYGRAY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
525 E MARKET ST, SUITE B, LEESBURG, VA 20176-4171
(703) 443-6700
Mailing address
525 E MARKET ST, SUITE B, LEESBURG, VA 20176-4171
(703) 443-6700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205683
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979796
—
VA
Enumeration date
09/30/2008
Last updated
10/28/2011
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