| NPI | 1306887278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R. MORTLAND Owner/President 724-942-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: PA PT006410L) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-18 |