Individual
JENNIFER L STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
600 N MAIN ST, MOUNT VERNON, MO 65712-1004
(417) 466-3711
Mailing address
7111 HIGHWAY 39, MOUNT VERNON, MO 65712-6370
(417) 839-8291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012001974
MO
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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