Premier Orthopaedic and Sports Medicine Associates, Ltd

NPI #1144549536 in Upland, Pennsylvania

Provider Information

NPI Number: 1144549536
Entity Type: Organization
Organization Name: Premier Orthopaedic and Sports Medicine Associates, Ltd
Primary Specialty: Physical Therapist
Enumeration Date: May 25, 2010
Last Updated: Jan 31, 2022

Practice Location

Address: ONE MEDICAL CENTER BLVD
Address 2: CCMC PROF OFFICE BLDG II STE 320
City: Upland
State: Pennsylvania
ZIP Code: 19013
Phone: (610) 874-9710

Authorized Official

Name: DARLENE BUDDY
Title: CREDENTIALING COORDINATOR
Phone: (610) 359-6571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Physical Therapist	225100000X	Primary

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