Individual
CHERYL M STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7300
Mailing address
3159 RINEYVILLE BIG SPRINGS RD, RINEYVILLE, KY 40162-9617
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A4712
KY
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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