Organization
SPROUTS THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA RAE SMITH MS, OTR/L (OCCUPATIONAL THERAPIST)
(501) 772-1461
Entity
Organization
Contact information
Practice address
1821 PHOENIX AVE STE A, FORT SMITH, AR 72901-7939
(479) 222-1924
(479) 358-1455
Mailing address
1821 PHOENIX AVE STE A, FORT SMITH, AR 72901-7939
(479) 222-1924
(479) 358-1455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/08/2022
Last updated
11/18/2022
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