Sovereignty Health Services LLC

NPI #1487288635 in Edgewood, Maryland

Provider Information

NPI Number: 1487288635
Entity Type: Organization
Organization Name: Sovereignty Health Services LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 26, 2020
Last Updated: Mar 7, 2020

Practice Location

Address: 1319 WOODBRIDGE STATION WAY UNIT 102
City: Edgewood
State: Maryland
ZIP Code: 21040-3852
Phone: (410) 940-1983

Authorized Official

Name: KEHINDE M TIJANI, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (410) 940-1983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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