Individual
MRS. MARIA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
W76N677 WAUWATOSA RD, CEDARBURG, WI 53012-1707
(262) 512-2832
Mailing address
4030 MONCHES RD, COLGATE, WI 53017-9313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3063-19
WI
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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