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NPI Code Detail

MEDICARE: JOSHUA RAYMOND STEWART DPT

MEDICARE:   JOSHUA RAYMOND STEWART  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist31890FL

General Provider Information

NPI Number : 1225583008
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA RAYMOND STEWART DPT
Provider Business Mailing Address
First Line : 1756 NW 73RD AVE
Second Line :
City : ANKENY
State : IA
Zip : 50023-9371
Country : US
Telephone Number : 319-238-1908
Fax Number :
Provider Business Practice Location Address
First Line : 600 OPP DR
Second Line :
City : FORT WALTON BEACH
State : FL
Zip : 32548-4493
Country : US
Telephone Number : 850-301-1935
Fax Number : 850-301-1937
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2016
Last Update Date : 09/30/2021

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Directions to “ JOSHUA RAYMOND STEWART DPT” Practice Location

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