Organization
SPROUTS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LYNN AMELANG OTR/L (OWNER)
(858) 248-7824
Entity
Organization
Contact information
Practice address
94-1181 KA UKA BLVD STE C, WAIPAHU, HI 96797-4485
(808) 260-9056
(877) 518-7858
Mailing address
94-1181 KA UKA BLVD STE C, WAIPAHU, HI 96797-4485
(808) 260-9056
(877) 518-7858
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/06/2011
Last updated
08/06/2025
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