Individual
BRIELLE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5728 MAJOR BLVD STE 600, ORLANDO, FL 32819-7970
(407) 280-3776
(407) 454-9007
Mailing address
10336 ARBOR RIDGE TRL, ORLANDO, FL 32817-2831
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT22016
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
07/12/2021
Last updated
07/26/2021
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