Organization
PREMIER ORTHOPAEDIC AND SPORTS MEDICINE ASSOCIATES, LTD
Active
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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