Organization
SPROUT PEDIATRIC THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON BARRILLEAUX STEVENS OTR/L (OWNER / MANAGER)
(985) 351-1394
Entity
Organization
Contact information
Practice address
56309 CURRIER LN, LORANGER, LA 70446-2749
(985) 351-1394
(985) 878-9781
Mailing address
56309 CURRIER LN, LORANGER, LA 70446-2749
(985) 351-1394
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
06/16/2021
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