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Organization
PHENIX CITY ELITE REHAB SOLUTIONS LLC
Active
Organization
PHENIX CITY ELITE REHAB SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA VAN ETTEN (DIR OF CREDENTIALING)
(334) 799-5853
Entity
Organization
Contact information
Practice address
5409 SUMMERVILLE RD STE 3, PHENIX CITY, AL 36867-7437
(334) 947-1327
(334) 408-2460
Mailing address
5409 SUMMERVILLE RD STE 3, PHENIX CITY, AL 36867-7437
(334) 947-1327
(334) 408-2460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
04/24/2025
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