Individual
LYNDY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1950 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
(574) 291-6722
Mailing address
806 FROSTFIELD DR, APT 1B, MISHAWAKA, IN 46544-9013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008817A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
IN
Enumeration date
06/29/2007
Last updated
05/21/2020
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