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Audrey Stewart, PT, DPT

Physical Therapist, Pediatrics in Melbourne, FL. Individual provider (NPI-1).

NPI number1699095935
StatusActive
Last updated in NPPESAug 3, 2010

Details

NPI
1699095935
Entity type
Individual (NPI-1)
Name
Audrey Stewart
Credential
PT, DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 9, 2010
Last updated
Aug 3, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, PediatricsPT25525FLYes

Practice location

4450 W Eau Gallie Blvd
Suite 180
Melbourne, FL 32934-7213

Phone 321-255-6627

Mailing address

4775-2 Lake Waterford Way
Melbourne, FL 32901

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