Organization
THE LAUREL STOUT AGENCY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREL STUTZMAN-STOUT M.A.-C.C.C., S.L.P. (PRESIDENT)
(800) 577-4310
Entity
Organization
Contact information
Practice address
19261 STATE ROUTE 136, WINCHESTER, OH 45697
(800) 577-4310
(937) 695-1375
Mailing address
PO BOX 267, WINCHESTER, OH 45697-0267
(800) 577-4310
(937) 695-1375
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
02822
OH
225200000X
Physical Therapy Assistant
02711
OH
225200000X
Physical Therapy Assistant
05442
OH
225X00000X
Occupational Therapist
Primary
5546
OH
235Z00000X
Speech-Language Pathologist
SP8282
OH
Other
Enumeration date
07/12/2007
Last updated
10/27/2007
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