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NPI Code Detail

MEDICARE: MAGGIE L STEWART PTA

MEDICARE: MAGGIE L STEWART PTA
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
1225200000XPhysical Therapy Assistant06462OH

General Provider Information

NPI Number : 1851944391
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAGGIE L STEWART PTA
Provider Business Mailing Address
First Line : 8370 MARKWOOD DR
Second Line :
City : MENTOR
State : OH
Zip : 44060-2210
Country : US
Telephone Number : 440-994-4025
Fax Number :
Provider Business Practice Location Address
First Line : 200 HAMLET HILLS DR
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-2870
Country : US
Telephone Number : 440-247-4676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2019
Last Update Date : 07/23/2019

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Directions to “ MAGGIE L STEWART PTA” Practice Location

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