Individual
CANDACE SHAE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 MAIN ST, BREMEN, KY 42325
(270) 225-8344
Mailing address
4501 MAIN ST, BREMEN, KY 42325
(270) 225-8344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
262479
KY
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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