Organization
ELITE REHAB INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SARAH L. MCNEAL PTA (CO-OWNER)
(570) 956-8149
Entity
Organization
Contact information
Practice address
200 W. 27TH ST., HAZLETON, PA 18202-9759
(570) 956-8149
Mailing address
200 W. 27TH ST., HAZLETON, PA 18202-9759
(570) 956-8149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT008550L
PA
174400000X
Specialist
TE1004392
PA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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