Individual
ELISE SPRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
308 SE 9TH ST, PELLA, IA 50219-2296
(641) 621-0230
(641) 621-0319
Mailing address
1639 BRIAR LN, PELLA, IA 50219-7672
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01144
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04621
WELLMARK
IA
Enumeration date
10/17/2006
Last updated
07/08/2007
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