Organization Name: | STEWART B. FRESH, DC, LLC |
NPI Number: | 1063718138 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEWART B FRESH (OWNER) |
Mailing Address: | 9 Starbrush Cir Suite 201 Covington |
State: | LA US |
Postal Code: | 704337246 |
Phone Number: | 9852597774 |
Fax Number: | 9852597775 |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 12/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |