SHANNON LEIGH STOUT

FORT WORTH, TX
NPI1245521400
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2039105)
Enumeration Date2011-04-22
Last Update Date2011-04-22
Business Address
Mrs. SHANNON LEIGH STOUT P.T.A.
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-922-7105
Mailing Address
Mrs. SHANNON LEIGH STOUT P.T.A.
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-922-7105
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