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Organization
SPROUT THERAPY GROUP - PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH
Active
Organization
SPROUT THERAPY GROUP - PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH
Active
Other names
Sprout Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S DORFMAN (CHIEF OPERATING OFFICER)
(315) 450-4898
Entity
Organization
Contact information
Practice address
108 SOUTHVIEW RD, SYRACUSE, NY 13209-2206
(315) 450-4898
(315) 834-4898
Mailing address
108 SOUTHVIEW RD, SYRACUSE, NY 13209-2206
(315) 450-4898
(315) 834-4898
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NULL
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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