| NPI | 1689568057 |
|---|---|
| Doing Business As | SPROUT THERAPY CO. |
| Entity Type | Organization |
| Authorized Contact | JENNA DIETRICH Co Owner, Speech Language Pathologi 217-440-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-06-09 |
| Last Update Date | 2026-06-16 |