Individual
MS. ELDA (IDA) K STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5725 CURTIS CLARK DR APT 421, CORPUS CHRISTI, TX 78412-4557
(361) 728-4108
Mailing address
5725 CURTIS CLARK DRIVE #421, CORPUS CHRISTI, TX 78412
(361) 728-4108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210261
TX
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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