MS. MARJORIE JERGENTZ-STOUT, B.S.

Recreation Therapist

Active Individual
NPI: 1902994411

Practice Address

3801 MIRANDA AVE
(11K PAD)
Palo Alto, CA 94304

Phone: (650) 493-5000

Specialties

Specialty Code Primary License
Recreation Therapist 225800000X Yes -

Frequently Asked Questions

NPI 1902994411 is the National Provider Identifier for MS. MARJORIE JERGENTZ-STOUT, B.S., a Recreation Therapist provider located in Palo Alto, CA. This NPI was enumerated on October 10, 2006.
MS. MARJORIE JERGENTZ-STOUT, B.S. practices at 3801 MIRANDA AVE, (11K PAD), Palo Alto, CA 94304.

Quick Facts

NPI
1902994411
Type
Individual
Enumerated
Oct 10, 2006
Last Updated
Jul 8, 2007

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