Individual
JEROME STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
8600 SKYLINE DR, DALLAS, TX 75243-4198
(214) 355-9108
Mailing address
211 ALTHEA RD, ROCKWALL, TX 75032-6103
(903) 486-2165
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2118456
TX
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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