Individual
DR. ANNIE GRACE STEWART
Active
Individual
DR. ANNIE GRACE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT0277522
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT027522
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
05/03/2019
Last updated
05/03/2019
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