Individual
CARISSA STUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(740) 815-6487
Mailing address
5619 BELMONT AVE APT 3175, DALLAS, TX 75206-6795
(740) 815-6487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122145
TX
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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