Organization · Type 2 NPI
Sporty Sprouts Inc
Pediatric Physical Therapist · Brandon, MS
Practice location
104 Faith Way
Brandon, MS 39042-8676
Mailing address
PO Box 4233
Brandon, MS 39047-4233
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | None listed |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
About NPI 1780978502
Sporty Sprouts Inc's National Provider Identifier is 1780978502, issued on Jun 9, 2011. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Brandon, MS. The record was last updated on Jun 9, 2011.