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Organization
ELITE PERFORMANCE LAB, LLC
Active
Organization
ELITE PERFORMANCE LAB, LLC
Active
Other names
New Market Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON ANGUS PTA (OWNER)
(240) 529-7987
Entity
Organization
Contact information
Practice address
40 W MAIN ST, NEW MARKET, MD 21774-6290
(240) 529-7987
Mailing address
40 W MAIN ST, NEW MARKET, MD 21774-6290
(240) 529-7987
(833) 648-2517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
11/10/2025
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