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Organization
ELITE PHYSICAL THERAPY INC
Active
Organization
ELITE PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBERLY C MASON PT (OWNER)
(251) 425-2170
Entity
Organization
Contact information
Practice address
30941 MILL LANE, SUITE D, DAPHNE, AL 36526
(251) 533-3275
Mailing address
PO BOX 7627, MOBILE, AL 36670-0627
(251) 625-2170
(251) 625-2172
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PTH4377
AL
Other
Enumeration date
01/28/2008
Last updated
06/12/2008
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