MEDICARE: CHRISTEN NOEL STEWART PT. DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT21446	FL

General Provider Information

NPI Number	:	1851523468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTEN NOEL STEWART PT. DPT

Provider Business Mailing Address
First Line	:	8507 WHITE ROSE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-5678
Country	:	US
Telephone Number	:	407-488-2016
Fax Number	:

Provider Business Practice Location Address
First Line	:	8507 WHITE ROSE DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-5678
Country	:	US
Telephone Number	:	407-488-2016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2009
Last Update Date	:	12/20/2020

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