Individual
LYDIA GRACE STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, MSOT
Contact information
Practice address
6912 220TH ST SW STE 205, MOUNTLAKE TERRACE, WA 98043-2169
(425) 712-1978
(425) 712-1995
Mailing address
6912 220TH ST SW STE 205, MOUNTLAKE TERRACE, WA 98043-2169
(425) 712-1978
(425) 712-1995
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61601432
WA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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