Provider Demographics
NPI:1851523468
Name:STEWART, CHRISTEN NOEL (PT DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:NOEL
Last Name:STEWART
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:CHRISTEN
Other - Middle Name:NOEL
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:8507 WHITE ROSE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-5678
Mailing Address - Country:US
Mailing Address - Phone:407-488-2016
Mailing Address - Fax:
Practice Address - Street 1:8507 WHITE ROSE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32818-5678
Practice Address - Country:US
Practice Address - Phone:407-488-2016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-14
Last Update Date:2020-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21446225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist