# ELITE PHYSICAL THERAPY MANAGEMENT COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952786956
- **Authorized official:** ROBERT BOLTON PT (PHYSICAL THERAPIST)
- **Authorized official phone:** (225) 757-6133

## Contact information

- **Practice address:** 9222 BURBANK DR, SUITE B, BATON ROUGE, LA 70820-8612
- **Practice address phone:** (225) 757-6133
- **Practice address fax:** (225) 757-6174
- **Mailing address:** 9222 BURBANK DR, SUITE B, BATON ROUGE, LA 70820-8612
- **Mailing address phone:** (225) 757-6133
- **Mailing address fax:** (225) 757-6174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 06800 | LA | Yes |

## Other

- **Enumeration date:** 07/21/2015
- **Last updated:** 07/28/2015