# ELISES CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elises Physical and Hand therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982348132
- **Authorized official:** GARY ELISES PT (DIRECTOR)
- **Authorized official phone:** (641) 780-9068

## Contact information

- **Practice address:** 611 N HANCOCK ST, OTTUMWA, IA 52501-4278
- **Practice address phone:** (641) 684-6571
- **Practice address fax:** (642) 683-8324
- **Mailing address:** 1202 MAIN ST, PELLA, IA 50219-1224
- **Mailing address phone:** (641) 780-9068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2022
- **Last updated:** 04/25/2022