Individual
JESSICA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
403 E 10TH ST, DIXON, MO 65459-6049
(573) 759-2135
(573) 759-4487
Mailing address
403 E 10TH ST, DIXON, MO 65459-6049
(573) 759-2135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
005226
KY
225100000X
Physical Therapist
Primary
2010011162
MO
Other
Enumeration date
01/05/2010
Last updated
03/22/2013
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