Premiere Physical Therapy & Sport Rehabilitation

NPI #1477660629 in Springfield, Illinois

Provider Information

NPI Number: 1477660629
Entity Type: Organization
Organization Name: Premiere Physical Therapy & Sport Rehabilitation
Primary Specialty: Physical Therapist
Enumeration Date: Aug 24, 2006
Last Updated: Sep 30, 2009

Practice Location

Address: 320 E CARPENTER ST STE 1B
City: Springfield
State: Illinois
ZIP Code: 62702-5165
Phone: (217) 744-8000

Authorized Official

Name: JOHN A WOODARD
Title: PT/CEO
Phone: (217) 744-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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