Sprout Pediatrics LLC

NPI #1275899866 in Irmo, South Carolina

Provider Information

NPI Number: 1275899866
Entity Type: Organization
Organization Name: Sprout Pediatrics LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 9, 2012
Last Updated: Apr 9, 2012

Practice Location

Address: 108 BELFAIR RD
City: Irmo
State: South Carolina
ZIP Code: 29063-8040
Phone: (803) 361-6995

Authorized Official

Name: MR. RHYNO COETSEE, PT
Title: ADMINISTRATOR
Phone: (803) 361-6995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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