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Organization
ELEVATED PHYSICAL THERAPY
Active
Organization
ELEVATED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON MACKENZIE BURKE PT, DPT (CEO)
(626) 360-2717
Entity
Organization
Contact information
Practice address
188 S DE LACEY AVE, PASADENA, CA 91105-2053
(626) 360-2717
Mailing address
188 S DE LACEY AVE, PASADENA, CA 91105-2053
(626) 360-2717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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