Individual
NICOLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2910 LERMITAGE PL, STOW, OH 44224-5219
(330) 688-1188
(330) 688-1278
Mailing address
257 CHARLES ST, MOGADORE, OH 44260-1549
(330) 688-1188
(330) 688-1278
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.02837
OH
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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