Individual
MRS. ELIZABETH ANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10552 BASTILLE LN, APT. 205, ORLANDO, FL 32836-4622
(321) 441-5721
(407) 778-1142
Mailing address
10552 BASTILLE LN, APT. 205, ORLANDO, FL 32836-4622
(321) 441-5721
(407) 778-1142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 11332
FL
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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