Individual
MRS. PAULA ANN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1130 N. MARGARET ST., MARKESAN RESIDENT HOME, MARKESAN, WI 53946
(920) 398-2751
(920) 398-3937
Mailing address
1130 N. MARGARET ST., MARKESAN RESIDENT HOME, MARKESAN, WI 53946
(920) 398-2751
(920) 398-3937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1581-19
WI
Other
Enumeration date
11/04/2009
Last updated
11/06/2009
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