| Sprout Pediatric Therapy Services | |
|
3498 450th St, Orange City, IA 51041-7506 | |
| (712) 737-9065 | |
| (712) 737-9064 |
| Full Name | Sprout Pediatric Therapy Services |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 3498 450th St, Orange City, Iowa |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487006706 | NPI | - | NPPES |
| 0170200 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 001958 (Iowa) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Sprout Pediatric Therapy Services 4244 Chestnut Ave, Hawarden, IA 51023-7406 Ph: () - | Sprout Pediatric Therapy Services 3498 450th St, Orange City, IA 51041-7506 Ph: (712) 737-9065 |
Stacy Wernimont-diehl, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Cir Se, Suite 400, Orange City, IA 51041 Phone: 712-737-5234 | |
Alison Vlieger, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Cir Se, Orange City, IA 51041 Phone: 712-737-5234 | |
Ana Dunlavey, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Cir Se, Orange City, IA 51041 Phone: 712-737-5234 | |
Sheri Ahlrich, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Cir Se Ste 400, Orange City, IA 51041 Phone: 712-737-5293 | |
Elizabeth Van Bruggen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3498 450th St, Orange City, IA 51041 Phone: 712-737-9065 Fax: 712-737-9064 | |
Christin Konz, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln Cir Se, Orange City, IA 51041 Phone: 712-737-5234 |