SAGE STOUT JOHANNESSEN

CHARLOTTESVILLE, VA
NPI1730899881
Former NameSAGE AMBER STOUT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy261QP2000X Clinic/Center, Physical Therapy
(Licence: VA  2305212499)
Enumeration Date2022-11-30
Last Update Date2025-11-05
Business Address
SAGE STOUT JOHANNESSEN DPT
3040 BERKMAR DR STE A1
CHARLOTTESVILLE, VA 22901-1593
Phone number: 434-979-8628
Mailing Address
SAGE STOUT JOHANNESSEN DPT
1618 CAMBRIDGE CIR
CHARLOTTESVILLE, VA 22903-1316
Phone number: 802-922-0753
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