Individual
TIMOTHY ALLEN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
C&A PLAZA CALIFORNIA STREET, SUITE 200, OMAHA, NE 68154
(402) 891-1118
Mailing address
193 POOR VALLEY CREEK RD, ROGERSVILLE, TN 37857-7319
(423) 273-1011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2079
OK
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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