DARREN MICHAEL STOUT

CALDWELL, ID
NPI1790945855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  OTA101)
Enumeration Date2008-06-12
Last Update Date2008-06-12
Business Address
Mr. DARREN MICHAEL STOUT COTA/L
2814 S INDIANA AVE
CALDWELL, ID 83605-5925
Phone number: 208-454-0380
Mailing Address
Mr. DARREN MICHAEL STOUT COTA/L
2355 EST MEADOW WOOD DR
MERIDIAN, ID 83646
Phone number: 208-863-5568
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