| NPI | 1427943570 |
|---|---|
| Former Legal Business Name | SPROUT THERAPY SOLUTIONS LLC |
| Doing Business As | COASTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELLIOTT REEL CFO 305-587-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |