Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STOTT (ADMINISTRATOR)
(610) 359-5664
Entity
Organization
Contact information
Practice address
400 MCFARLAN RD, STE 100, KENNETT SQUARE, PA 19348-2477
(610) 444-1344
Mailing address
400 MCFARLAN RD, STE 100, KENNETT SQUARE, PA 19348-2477
(610) 444-1344
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
05/28/2010
Last updated
11/19/2013
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