Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Brenetta Stewart, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1174142681

Jacqueline Brenetta Stewart, PHYSICALTHERAPIST is a Physical Therapist in Woodside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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Practice location Address checks out

6111 Queens Blvd
Woodside, NY 11377-4965
Phone: (901) 482-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 035021-1 (NY)

Record details

NPI number1174142681
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedApril 14, 2020
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020

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