Provider Demographics
NPI:1225007610
Name:STEWARD-GELINAS, DANIELLE M (DPT)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:M
Last Name:STEWARD-GELINAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 B LN
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-2204
Mailing Address - Country:US
Mailing Address - Phone:860-287-3222
Mailing Address - Fax:
Practice Address - Street 1:31 B LN
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-2204
Practice Address - Country:US
Practice Address - Phone:860-287-3222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT005282225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0V1094OtherHEALTH NET
080005282CT12OtherBLUE CROSS
076544Medicare ID - Type Unspecified