Sprout Pediatric Therapy Services

NPI #1487006706 in Orange City, Iowa

Provider Information

NPI Number: 1487006706
Entity Type: Organization
Organization Name: Sprout Pediatric Therapy Services
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 11, 2016
Last Updated: Jun 5, 2017

Practice Location

Address: 3498 450TH ST
City: Orange City
State: Iowa
ZIP Code: 51041-7506
Phone: (712) 737-9065

Authorized Official

Name: ELIZABETH ANN VAN BRUGGEN, MS IN OT
Title: OWNER
Phone: (712) 441-1710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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