Organization
LITTLE SPROUTS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA KAISHA MCNEELY MS, OTR/L (OCCUPATIONAL THERAPIST/OWNER)
(719) 289-2530
Entity
Organization
Contact information
Practice address
714 W. ORMAN AVE, PUEBLO, CO 81004
(719) 301-0978
Mailing address
714 W. ORMAN AVE, PUEBLO, CO 81004
(719) 289-2530
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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