Sunnyside Pediatric Therapy LLC
NPI #1083431233 in South Bend, Indiana
Provider Information
- NPI Number
- 1083431233
- Entity Type
- Organization
- Organization Name
- Sunnyside Pediatric Therapy LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 20, 2024
- Last Updated
- Sep 20, 2024
Practice Location
- Address
- 1329 WAYNE ST S
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46615-1044
- Phone
- (847) 284-4984
Authorized Official
- Name
- SARAH VOGT
- Title
- OWNER
- Phone
- (847) 284-4984
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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