| Doctor Name: | DR. JILLIAN STEWART |
| NPI Number: | 1093123424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 41435 |
| Business Practice Address: | 1120 Via Callejon San Clemente, CA - 926736213 |
| Business Phone Number: | 9494985100 |
| Business Fax Number: | |
| Mailing Address: | 1120 Via Callejon, SAN CLEMENTE |
| State: | CA |
| Postal Code: | 926736213 |
| Phone Number: | 9494985100 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2014 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 41435 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |