Individual provider · Type 1 NPI

Stacey L. Ewart

Rehabilitation Practitioner · Los Angeles, CA

NPI number 1902040504 Active

Practice location

3741 Stocker St Ste 207
Los Angeles, CA 90008-5148

Call (323) 596-2480 Map

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1902040504

Stacey L. Ewart's National Provider Identifier is 1902040504, issued on Apr 27, 2009. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 27, 2009.