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Individual

CARRIE E STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
440 N FRONT ST, SUITE 102, MEMPHIS, TN 38105-1537
(901) 577-9484
(901) 577-9483
Mailing address
440 N FRONT ST, SUITE 102, MEMPHIS, TN 38105-1537
(901) 577-9484
(901) 577-9483

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7290
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3077388
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
Enumeration date
08/26/2008
Last updated
01/14/2010
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