Sprout Pediatric Therapy, Pllc
NPI #1487238259 in Minot, North Dakota
Provider Information
- NPI Number
- 1487238259
- Entity Type
- Organization
- Organization Name
- Sprout Pediatric Therapy, Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 7, 2021
- Last Updated
- May 7, 2021
Practice Location
- Address
- 21 MAIN ST S STE 101A
- City
- Minot
- State
- North Dakota
- ZIP Code
- 58701-3872
- Phone
- (701) 500-0104
Authorized Official
- Name
- CANDACE R LARSON, MS, CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (701) 500-0104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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