Stewart, Andrea T

Stewart, Andrea T is an individual health care provider with primary practice located at 210 Wisconsin American Dr , Fond Du Lac WI 54935-2999. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Stewart, Andrea T can be contacted via phone (920) 907-7000.

Contact Information

Primary practice address
210 Wisconsin American Dr Fond Du Lac WI 54935-2999
Phone: (920) 907-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 392-026 Wisconsin

Profile Details

NPI number 1285758011
LBN Legal business name Stewart, Andrea T
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285758011 NPPES
Wisconsin MEDICAID 40895300

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