Individual
DR. ANNIE GRACE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1770 BATHGATE RD, BETHLEHEM, PA 18017-7334
(484) 884-5437
Mailing address
701 HARRISON ST APT 120, ALLENTOWN, PA 18103-3050
(570) 898-5593
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT0277522
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT027522
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
05/03/2019
Last updated
05/03/2019
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