Organization
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.
Active
Parent organization
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.
Authorized official
LORI NELSON M.D. (MEDICAL DIRECTOR)
(610) 935-0719
Entity
Organization
Contact information
Practice address
824 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460-4478
(610) 935-0719
Mailing address
824 MAIN ST, SUITE 201, PHOENIXVILLE, PA 19460-4478
(610) 935-0719
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
03/01/2011
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