ELIZABETH ANN STOUT

ORLANDO, FL
NPI1033475504
Former NameELIZABETH ANN JORGENSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  OTA 11332)
Enumeration Date2012-04-09
Last Update Date2012-04-09
Business Address
Mrs. ELIZABETH ANN STOUT COTA/L
10552 BASTILLE LN APT. 205
ORLANDO, FL 32836-4622
Phone number: 321-441-5721
Mailing Address
Mrs. ELIZABETH ANN STOUT COTA/L
10552 BASTILLE LN APT. 205
ORLANDO, FL 32836-4622
Phone number: 321-441-5721
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