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Individual

MADISON STOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
3201 SW REGENCY PKWY, BENTONVILLE, AR 72712-7469
(479) 252-3321
Mailing address
3201 SW REGENCY PKWY, BENTONVILLE, AR 72712-7469

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/02/2023
Last updated
08/02/2023
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