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Organization

PREMIER REHABILITATION CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT ZEKONIS MPT (MANAGER)
(610) 296-5300
Entity
Organization

Contact information

Practice address
254 LANCASTER AVE, MALVERN, PA 19355-3087
(610) 296-5300
Mailing address
PO BOX 666, PAOLI, PA 19301-0666
(610) 296-5300

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0219600
ORTHONET/CIGNA
PA
01
1744705
HIGHMARK BLUE SHIELD
PA
01
2411072000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/25/2006
Last updated
04/26/2013
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