Provider Demographics
NPI:1083443519
Name:STELZL, DANA FRENCH (PT)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:FRENCH
Last Name:STELZL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:KATHARINE
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:507 WAKEFIELD DR APT C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3148
Mailing Address - Country:US
Mailing Address - Phone:704-285-8207
Mailing Address - Fax:
Practice Address - Street 1:507 WAKEFIELD DR APT C
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3148
Practice Address - Country:US
Practice Address - Phone:704-285-8207
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17025225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist