Individual
DANIELLE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E CHESTNUT ST, LOUISVILLE, KY 40202-1713
(219) 728-8030
Mailing address
1630 EASTERN PKWY, LOUISVILLE, KY 40204-1562
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
163736
KY
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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