Sprouts Pediatric Clinic, LLC
NPI #1831732197 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1831732197
- Entity Type
- Organization
- Organization Name
- Sprouts Pediatric Clinic, LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Oct 18, 2019
- Last Updated
- Oct 18, 2019
Practice Location
- Address
- 200 VALENCIA DR STE 160
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-6315
- Phone
- (206) 653-6090
Authorized Official
- Name
- KILEY THROOP, MS, OTR/L
- Title
- OCCUPATIONAL THERAPIST / OWNER
- Phone
- (206) 653-6090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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