IndividualActive
Marty Stout
NPI 1821592080 · Prosthetics Case Management · Temple Hills, MD
Provider details
- NPI number
- 1821592080
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 431151 (MD)
Specialties & taxonomies
Other Service Providers
Practice location
2243 Oxon Hill Dr
Temple Hills, MD 20020
Phone: (202) 491-6819
Approximate (ZIP-level) locationGet directions
Mailing address
1620 17th Pl Se Apt 4
Washington, DC 20020-5548
Registry dates
- Enumerated
- 2018-03-22
- Last updated
- 2018-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.