Individual
SAMUEL LIVINGSTON STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6608
Mailing address
3920 DUTCHMANS LN, LOUISVILLE, KY 40207-4702
(502) 259-6608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
332685
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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