Individual
KANTESSA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 3RD AVE, SIDNEY, OH 45365-1116
(800) 824-9861
(937) 438-8630
Mailing address
6551 CENTERVILLE BUSINESS PKWY STE 120, CENTERVILLE, OH 45459-2696
(937) 415-9100
(937) 415-9191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4765
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073226
—
OH
Enumeration date
10/10/2007
Last updated
06/09/2025
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