Most Relevant Information
Provider Data
| NPI Number: | 1003542390 |
| Provider Name: | DEBORAH MARY STEWART BSPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT18738 |
Most Important Dates
| Enumeration Date: | 07/28/2022 |
| Last Updated: | 07/29/2022 |
Provider Practice Location
181 LEISURE PARK CIR
SANTA ROSA
CA
954015856
Practice Location Phone/Fax
| Phone: | 7076955008 |
| Fax: |
Provider Mailing Location
181 LEISURE PARK CIR
SANTA ROSA
CA
954015856
Provider Mailing Phone/Fax
| Phone: | 7076955008 |
| Fax: |