Individual
ALYSON STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1402 BLAZE DR, POINT PLEASANT BORO, NJ 08742-4910
(201) 953-1985
Mailing address
1402 BLAZE DR, POINT PLEASANT BORO, NJ 08742-4910
(201) 953-1985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00726500
NJ
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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