Organization
STARLIGHT SPROUTS THERAPIES, LLC
Active
Other names
Starlight Sprouts Therapies, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE BAUTISTA (OWNER)
(954) 932-5958
Entity
Organization
Contact information
Practice address
7533 S CENTER VIEW CT # 4990, WEST JORDAN, UT 84084-5526
(954) 932-5958
Mailing address
8767 HEADLEY DR, STERLING HEIGHTS, MI 48314-2661
(954) 932-5958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/31/2025
Last updated
08/04/2025
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