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Individual

HEIDI RAE STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
9102 N MERIDIAN ST, STE 415, INDIANAPOLIS, IN 46260-1860
(317) 581-1890
(317) 581-2436
Mailing address
9102 N MERIDIAN ST, STE 415, INDIANAPOLIS, IN 46260-1860
(317) 581-1890
(317) 581-2436

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005096A
IN

Other

Enumeration date
06/19/2006
Last updated
07/08/2007
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