Pennsylvania
Department of State
MARY THERESA STOUT
Direct Access Authorization - Physical Therapy
License number
DAPT000315
Date granted
10/26/2004
Date expires
12/31/2016
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
Elysburg PA 17824
palicensing.org
ID 17277251
LAST UPDATED 2026-06-20 14:31:00 UTC
LAST UPDATED 2026-06-20 14:31:00 UTC
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