Individual
LAURIE B STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S 4TH ST, READING, PA 19602-1804
(610) 374-5175
(610) 374-0426
Mailing address
220 S 4TH ST, READING, PA 19602-1804
(610) 374-5175
(610) 374-0426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011151
PA
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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