Provider Demographics
NPI:1992039556
Name:STODDEN, CAROLYN LYNDALL (PT)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:LYNDALL
Last Name:STODDEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1315 3RD AVE
Mailing Address - Street 2:APT 4RS
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2935
Mailing Address - Country:US
Mailing Address - Phone:646-725-8383
Mailing Address - Fax:
Practice Address - Street 1:333 E 56TH ST
Practice Address - Street 2:SUTTON PLACE PHYSICAL THERAPY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3758
Practice Address - Country:US
Practice Address - Phone:212-317-1600
Practice Address - Fax:212-317-9855
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY031391225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist