| Doctor Name: | MRS. CHRISTIE MARIE STACK-SIDES |
| NPI Number: | 1073512257 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.PT |
| License Number: | PT2999 |
| Business Practice Address: | 6000 Laurel Bowie Rd Suite 203 Bowie, MD - 207154000 |
| Business Phone Number: | 3018600237 |
| Business Fax Number: | 3018600076 |
| Mailing Address: | 3204 Elliott Dr, ANNAPOLIS |
| State: | MD |
| Postal Code: | 214034669 |
| Phone Number: | 4102244520 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT2999 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | DC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |