| NPI | 1396379236 |
|---|---|
| Doing Business As | SPROUT PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | LINDSEY CATHERINE CASPER Occupational Therapist 208-521-2134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2020-03-01 |