Individual
MOLLY STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
37387 GILES RD, GRAFTON, OH 44044-9130
(440) 506-8937
Mailing address
37387 GILES RD, GRAFTON, OH 44044-9130
(440) 506-8937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006433
OH
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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