Individual
ANDREW STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
706 SUNDALE DR, LAKE CHARLES, LA 70607-7032
(337) 405-8823
Mailing address
3564 AVALON PARK E BLVD STE 1, UNIT # A889, ORLANDO, FL 32828
(318) 542-7154
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
09335R
LA
Other
Enumeration date
04/16/2014
Last updated
10/14/2022
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