Individual
ELIZABETH STOUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 791-7400
Mailing address
7110 JORDAN DR, RAPID CITY, SD 57702-8738
(605) 791-7400
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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