Individual
MS. CHRISTY LANE STOUT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
760 UNION STREET, PINE TREE PHYSICAL THERAPY, BANGOR, ME 04401
(207) 942-2266
(207) 942-7577
Mailing address
760 UNION STREET, PINE TREE PHYSICAL THERAPY, BANGOR, ME 04401
(207) 942-2266
(207) 942-7577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
848
ME
Other
Enumeration date
11/01/2005
Last updated
07/08/2007
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