Premiere Physical Therapy & Sports Injury Rehabilitation LLC
NPI #1053646398 in Springfield, Illinois
Provider Information
- NPI Number
- 1053646398
- Entity Type
- Organization
- Organization Name
- Premiere Physical Therapy & Sports Injury Rehabilitation LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 5, 2009
- Last Updated
- Oct 5, 2009
Practice Location
- Address
- 2901 OLD JACKSONVILLE RD STE C
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-7437
- Phone
- (217) 793-0000
Authorized Official
- Name
- JOHN WOODARD
- Title
- CEO/PHYSICAL THERAPIST
- Phone
- (217) 744-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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