Doctor Name: | BRENT C STUART |
NPI Number: | 1083662175 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | PT016943 |
Business Practice Address: | 100 Presidential Blvd Bala Cynwyd, PA - 190041108 |
Business Phone Number: | 6106680904 |
Business Fax Number: | |
Mailing Address: | 205 Lakeside Ave, PITMAN |
State: | NJ |
Postal Code: | 080711857 |
Phone Number: | 6174296552 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT016943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |