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Individual
ANGELA STOUT THREETHS
Active
Individual
ANGELA STOUT THREETHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09487R
LA
225100000X
Physical Therapist
Primary
8545
SC
225100000X
Physical Therapist
T012547
GA
Other
Enumeration date
11/18/2016
Last updated
03/23/2023
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