Individual
KRISTA LYNN STOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R., CHT
Contact information
Practice address
7 MEDICAL PARKWAY, DALLAS, TX 75234
(972) 888-7147
Mailing address
631 FOREST HILL DR, COPPELL, TX 75019-6625
(314) 707-0343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-03488
IL
225X00000X
Occupational Therapist
108415
TX
225XH1200X
Hand Occupational Therapist
056-03488
IL
225XH1200X
Hand Occupational Therapist
Primary
108415
TX
Other
Enumeration date
05/29/2007
Last updated
11/04/2013
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