| NPI | 1184859241 |
|---|---|
| Doing Business As | SOVEREIGN PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | JOAN LAWRENCE Director Of Operations 773-755-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |