Individual
CARISSA DORVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT ATC
Contact information
Practice address
1201 WESLEYAN ST, FORT WORTH, TX 76105-1536
(817) 531-4444
Mailing address
6520 BROWNING DR, NORTH RICHLAND HILLS, TX 76180-6198
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9560
TX
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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