Individual
BRITTANY ANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 WATERMERE DR, SOUTHLAKE, TX 76092-8116
(682) 800-7124
Mailing address
2216 COLLINGTON DR, ROANOKE, TX 76262-5080
(949) 533-9095
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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