Individual
TAYLOR NICOLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 GROVER ST STE B2, LYNDEN, WA 98264-1539
(360) 354-5245
Mailing address
7638 SONGBIRD LN, CUSTER, WA 98240-9310
(956) 245-4206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160999084
WA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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