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Organization
TALLASSEE REHAB
Active
Organization
TALLASSEE REHAB
Active
Other names
Elite Rehab Eclectic
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA VAN ETTEN (ADMINISTRATOR)
(334) 541-2199
Entity
Organization
Contact information
Practice address
36 KOWALIGA RD, STE 11, ECLECTIC, AL 36024-5618
(343) 541-2199
(334) 541-5013
Mailing address
10 MAIN ST, ECLECTIC, AL 36024-5614
(334) 541-2199
(334) 541-5013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
11/06/2025
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