Individual
DR. CARISSA STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-5000
Mailing address
3020 THOMAS AVE APT B, DALLAS, TX 75204
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1263430
TX
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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