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Dr. Michael S Stout, DPT

Physical Therapist in Toms River, NJ. Individual provider (NPI-1).

NPI number1174982425
StatusActive
Last updated in NPPESMay 20, 2021

Details

NPI
1174982425
Entity type
Individual (NPI-1)
Name
Dr. Michael S Stout
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Feb 15, 2016
Certification date
May 20, 2021
Last updated
May 20, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist40QA01513200NJYes
2251C2600X 40QA01513200NJ

Practice location

300 W Water St
Toms River, NJ 08753-6692

Phone 732-703-7988

Mailing address

522 W Pestalozzi Ave
Egg Harbor City, NJ 08215-3320

Phone 609-214-7522

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