Individual
SHANNON DOLORES STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25 W 5TH ST, LANSDALE, PA 19446-2424
(215) 855-9765
Mailing address
106 INDIAN CREEK WAY, CHALFONT, PA 18914-2138
(215) 500-7676
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TEI006533
PA
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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