# ELITE PHYSICAL THERAPY CENTER INCORPORATED

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

## Provider details

- **NPI number:** 1568780021
- **Authorized official:** MR. HALIM OSCAR MARRUJO (MANAGER)
- **Authorized official phone:** (760) 337-8300

## Contact information

- **Practice address:** 1665 S IMPERIAL AVE, SUITE C, EL CENTRO, CA 92243-4253
- **Practice address phone:** (760) 337-8300
- **Mailing address:** PO BOX 2738, EL CENTRO, CA 92244-2738
- **Mailing address phone:** (760) 337-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT26541 | CA | Yes |

## Other

- **Enumeration date:** 05/08/2010
- **Last updated:** 05/11/2010