Individual
ELIZABETH MARIE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4100 LAKE OTIS PKWY STE 106, ANCHORAGE, AK 99508-5230
(907) 563-4115
Mailing address
4100 LAKE OTIS PKWY STE 106, ANCHORAGE, AK 99508-5230
(907) 563-4115
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
182659
AK
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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