Miriam M Stout, OT

NPI #1114901824 in Springfield, Virginia

Provider Information

NPI Number: 1114901824
Entity Type: Individual
Name: Miriam M Stout, OT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Dec 6, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 6506 LOISDALE RD
Address 2: STE 300
City: Springfield
State: Virginia
ZIP Code: 21550
Phone: (703) 924-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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