Provider Demographics
NPI:1184989709
Name:STEWART, ROBIN ESTELLE (MA)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ESTELLE
Last Name:STEWART
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:ESTELLE
Other - Last Name:SHERWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7617 LITTLE RIVER TPKE
Mailing Address - Street 2:#310
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-2603
Mailing Address - Country:US
Mailing Address - Phone:703-941-7757
Mailing Address - Fax:703-941-0587
Practice Address - Street 1:7617 LITTLE RIVER TPKE
Practice Address - Street 2:#310
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-2603
Practice Address - Country:US
Practice Address - Phone:703-941-7757
Practice Address - Fax:703-941-0587
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005443225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist