Sovereign Grace Therapy
NPI #1679979280 in Burlington, Iowa
Provider Information
- NPI Number
- 1679979280
- Entity Type
- Organization
- Organization Name
- Sovereign Grace Therapy
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Nov 8, 2014
- Last Updated
- Nov 8, 2014
Practice Location
- Address
- 1850 SUNNYSIDE AVE
- City
- Burlington
- State
- Iowa
- ZIP Code
- 52601-4423
- Phone
- (319) 601-9768
Authorized Official
- Name
- MR. SANJEE BENJAMIN GERALDE ANG, PT
- Title
- FOUNDER
- Phone
- (319) 601-9768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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