Paoli Sports Medicine and Rehabilitation Center, Inc.

NPI #1063595007 in Paoli, Pennsylvania

Provider Information

NPI Number: 1063595007
Entity Type: Organization
Organization Name: Paoli Sports Medicine and Rehabilitation Center, Inc.
Primary Specialty: Specialist
Enumeration Date: Oct 23, 2006
Last Updated: Aug 27, 2013

Practice Location

Address: 30 S VALLEY RD
Address 2: SUITE 102
City: Paoli
State: Pennsylvania
ZIP Code: 19301-1469
Phone: (610) 647-1996

Authorized Official

Name: JOSEPH MICHAEL CORCORAN, PT
Title: OWNER
Phone: (610) 647-1996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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