Provider Demographics
NPI:1669530572
Name:SONSINI, STEVEN A (MSPT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:A
Last Name:SONSINI
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:224 STRAWBRIDGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-4602
Mailing Address - Country:US
Mailing Address - Phone:856-677-4000
Mailing Address - Fax:856-234-3014
Practice Address - Street 1:3 MYERS DR STE 201
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-9515
Practice Address - Country:US
Practice Address - Phone:856-502-3300
Practice Address - Fax:856-294-9241
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2021-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ40QA00960200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ161273R5AMedicare PIN