Individual
ABBEY STOUTENBOROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 SINCLAIR DR, WEST LAFAYETTE, IN 47906-8691
(765) 506-6107
Mailing address
380 SINCLAIR DR, WEST LAFAYETTE, IN 47906-8691
(765) 506-6107
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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