Sprout Pediatric Occupational Therapy, LLC

NPI #1588098412 in Wichita, Kansas

Provider Information

NPI Number: 1588098412
Entity Type: Organization
Organization Name: Sprout Pediatric Occupational Therapy, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 28, 2013
Last Updated: Apr 11, 2018

Practice Location

Address: 3500 N ROCK RD, BLDG 2200, STE 101
City: Wichita
State: Kansas
ZIP Code: 67226-1341
Phone: (316) 440-3316

Authorized Official

Name: SHAWNA MARIE WENDT, OTR/L,BCP
Title: OWNER
Phone: (316) 440-3316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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