Individual
MR. DAVID STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3223 E 31ST ST, TULSA, OK 74105-2452
(918) 250-7093
(918) 250-9976
Mailing address
3223 E 31ST ST, TULSA, OK 74105-2452
(918) 250-7093
(918) 250-9976
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3201
OK
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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