Individual
CAITLIN LEE SPROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14550A YORK ROAD, SPARKS, MD 21152
(443) 330-7900
(410) 628-0836
Mailing address
14550 YORK RD STE A, SPARKS, MD 21152-9307
(443) 330-7900
(410) 628-0836
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06733
MD
Other
Enumeration date
06/22/2012
Last updated
02/17/2015
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