Individual
JAY SCOTT STOUGH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
800 W HIGH AVE, GENEVA, AL 36340-1354
(334) 796-6306
Mailing address
800 W HIGH AVE, GENEVA, AL 36340-1354
(334) 796-6306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5735
AL
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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