Organization
SPROUT CHILDREN'S THERAPY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LEON OTR/L (PRESIDENT)
(310) 918-3733
Entity
Organization
Contact information
Practice address
11332 CAMARILLO ST, NORTH HOLLYWOOD, CA 91602-1217
(310) 918-3733
Mailing address
5150 AVENIDA HACIENDA, TARZANA, CA 91356-4225
(310) 918-3733
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7242
CA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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