Individual
JOLEEN LYNN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 1ST AVE E STE 1, SPENCER, IA 51301-4330
(712) 264-6189
(712) 264-6542
Mailing address
1200 1ST AVE E STE 1, SPENCER, IA 51301-4330
(712) 264-6189
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02037
IA
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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