Organization
SUMMIT SPROUTS THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN STARK OTR/L (OCCUPATIONAL THERAPIST)
(719) 838-3915
Entity
Organization
Contact information
Practice address
105 JANES WAY, SILVERTHORNE, CO 80498
(719) 838-3915
Mailing address
PO BOX 1083, SILVERTHORNE, CO 80498-1083
(719) 838-3915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
02/21/2024
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