Individual
AVERY STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 KELLER AVE STE 102, LANCASTER, PA 17601-4070
(717) 740-2678
(717) 740-2688
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT031893
PA
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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