Organization
SOCIAL SPROUTS, INC.
Active
Organization
SOCIAL SPROUTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AISHAH MUHAMMAD-FLISSINGER OTD, OTR/L (PRESIDENT)
(310) 245-6657
Entity
Organization
Contact information
Practice address
1 ROLLING HILLS PREP WAY, SAN PEDRO, CA 90732-5200
(310) 245-6657
Mailing address
4176 CARFAX AVE, LAKEWOOD, CA 90713-3101
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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