# ELITE THERAPY CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306493119
- **Authorized official:** MELISSA M COSGRAVE PT (CEO/OWNER)
- **Authorized official phone:** (317) 325-8860

## Contact information

- **Practice address:** 250 SHENANDOAH DR, LAFAYETTE, IN 47905-5927
- **Practice address phone:** (317) 325-8860
- **Mailing address:** 12647 TIMBER CREST DR, CARMEL, IN 46033-8639
- **Mailing address phone:** (317) 325-8860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 11/11/2021