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1083034177
ANDREW STOUT
LAKE CHARLES, LA
NPI
1083034177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: LA 09335R)
Enumeration Date
2014-04-16
Last Update Date
2022-10-14
Business Address
ANDREW STOUT PT, DPT
706 SUNDALE DR
LAKE CHARLES, LA 70607-7032
Phone number: 337-405-8823
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Mailing Address
ANDREW STOUT PT, DPT
3564 AVALON PARK E BLVD STE 1 UNIT # A889
ORLANDO, FL 32828
Phone number: 318-542-7154
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