DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE BRENETTA STEWART, PHYSICAL THERAPIST

Active Sole Proprietor

JACQUELINE BRENETTA STEWART, PHYSICAL THERAPIST is a Physical Therapy Assistant healthcare provider located in WOODSIDE, New York. NPI 1174142681 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · WOODSIDE, NY

Registration Details

NPI Number
1174142681
Provider Type
Individual
Gender
Female
NPI Issued
Apr 14, 2020 (6.3435126179415 yrs)
Last Updated
Apr 14, 2020
License
035021-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
6111 QUEENS BLVD
WOODSIDE, NY, 113774965
Browse NY providers · Browse ZIP 11377
Phone
9014820194
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in WOODSIDE, NY

Name Credential NPI
MS. BLESILDA MURILLO P.T. 1356383798
MR. JUAN CARLOS ROMERO PT 1528140795
MR. RAFAEL BUENAVENTURA DELA CRUZ P.T. 1679629570
AMADO E CONANAN P.T. 1700925880
MR. OCTAVIO QUIJOTE JR. PT 1437290327
DR. CHARLOTTE LEDDA SALGADO DPT 1992821417
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.