Individual
GABRIELLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
(814) 506-8212
Mailing address
PO BOX 870, HUNTINGDON, PA 16652-0870
(814) 506-8212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT031881
PA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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