The Restoration Space LLC

NPI #1063927978 in Bethlehem, Pennsylvania

Provider Information

NPI Number: 1063927978
Entity Type: Organization
Organization Name: The Restoration Space LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 14, 2017
Last Updated: Dec 14, 2017

Practice Location

Address: 406 DELAWARE AVE STE 104
City: Bethlehem
State: Pennsylvania
ZIP Code: 18015-1469
Phone: (610) 594-2060

Authorized Official

Name: MEGAN B EYVAZZADEH, DPT
Title: OWNER
Phone: (610) 594-2060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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