Provider Demographics
NPI:1316185721
Name:STEWART, RHEA OBILLOS (PT)
Entity Type:Individual
Prefix:MRS
First Name:RHEA
Middle Name:OBILLOS
Last Name:STEWART
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1989A SANTA RITA RD # 332
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4727
Mailing Address - Country:US
Mailing Address - Phone:925-548-9933
Mailing Address - Fax:925-399-5931
Practice Address - Street 1:1989A SANTA RITA RD # 332
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-4727
Practice Address - Country:US
Practice Address - Phone:925-548-9933
Practice Address - Fax:925-399-5931
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist