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Paoli Sports Medicine And Rehabilitation Center, Inc.
Specialist in Paoli, Pennsylvania
NPI 1063595007

Paoli Sports Medicine And Rehabilitation Center, Inc. is a Specialist based in Paoli, PA. Paoli Sports Medicine And Rehabilitation Center, Inc. practices in Paoli, PA. The NPI Number for Paoli Sports Medicine And Rehabilitation Center, Inc. is 1063595007 and holds a License No. PT-000620-E (Pennsylvania).

The current practice location address for Paoli Sports Medicine And Rehabilitation Center, Inc. is 30 S Valley Rd, Paoli, PA and can be reached out via phone at 610-647-1996 and via fax at 610-408-8677.

Location: 30 S Valley Rd, Paoli, PA, 19301-1450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063595007
Provider Name
Paoli Sports Medicine And Rehabilitation Center, Inc.
Credential
Provider Entity Type
Organization
Address
30 S Valley Rd, Paoli, PA, 19301-1450
Phone Number
610-647-1996
Fax Number
610-408-8677
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1173150001 01 PA DME NUMBER
8495471 01 PA AETNA ID NUMBER
DB4763 01 PA RR MEDICARE NUMBER
institution
Provider Business Practice Location Address Details
Address
30 S Valley Rd
City
Paoli
State
Pennsylvania
Zip
19301-1469
Phone Number
610-647-1996
Fax Number
610-408-8677
person
Provider Business Mailing Address Details
Address
30 S Valley Rd
City
Paoli
State
Pennsylvania
Zip
19301-1469
Phone Number
610-647-1996
Fax Number
610-408-8677
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT-000620-E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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