Individual
COURTNEY STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S LIVINGSTON AVE STE 105, LIVINGSTON, NJ 07039-3929
(862) 746-5338
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5012
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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