| NPI | 1972557023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALLIE MORTAZAVI President 610-954-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2015-04-17 |