Individual
DIANE ELIZABETH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 MAIN ST, CADIZ, KY 42211-9153
(270) 522-2533
Mailing address
254 MAIN ST, CADIZ, KY 42211-9153
(270) 522-2533
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A01336
KY
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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