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Individual

CHRISTOPHER ALAN STODDARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, OTR/L

Contact information

Practice address
610 HUBBARD AVE STE 226, COEUR D'ALENE, ID 83814
(208) 818-7404
(208) 567-9508
Mailing address
31200 N RED FIR RD, ATHOL, ID 83801-3100
(208) 818-7404
(208) 567-9508

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3666
ID
225100000X
Physical Therapist
PT60316402
WA
225X00000X
Occupational Therapist
OT-1335
ID
225X00000X
Occupational Therapist
OT60300760
WA

Other

Enumeration date
07/13/2012
Last updated
03/13/2020
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