Doctor Name: | CARRIE LYNNE STILES |
NPI Number: | 1316222060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 40QA0893200 |
Business Practice Address: | 17 Linden Pl Suite 103 Red Bank, NJ - 077011939 |
Business Phone Number: | 7323836789 |
Business Fax Number: | |
Mailing Address: | Po Box 72, LITTLE SILVER |
State: | NJ |
Postal Code: | 077390072 |
Phone Number: | 7323836789 |
Fax Number: | |
NPI Enumeration Date: | 10/13/2011 |
NPI Last Update Date: | 12/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA0893200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |