Individual
LAURA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, OTC, CSCS
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
367 E ALLEN ST APT 25, CASTLE ROCK, CO 80108-7656
(608) 669-5306
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AT.0001269
CO
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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