Individual
KORY LEWIS STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
220 SUGAR CREEK LN APT 5, NORTH LIBERTY, IA 52317-9414
(319) 759-5021
Mailing address
220 SUGAR CREEK LN APT 5, NORTH LIBERTY, IA 52317-9414
(319) 759-5021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
092373
IA
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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