Organization
ELITE REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALAN SWAN MPT (PRINCIPAL)
(805) 681-9108
Entity
Organization
Contact information
Practice address
5152 HOLLISTER AVE, SANTA BARBARA, CA 93111-2526
(805) 681-9108
(805) 681-9208
Mailing address
5152 HOLLISTER AVE, SANTA BARBARA, CA 93111-2526
(805) 681-9108
(805) 681-9208
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT22203
PHYSICAL THERAPY
CA
01
—
PT28126
PHYSICAL THERAPY
CA
01
—
PT28354
PHYSICAL THERAPY
CA
01
—
PT28528
PHYSICAL THERAPY
CA
Enumeration date
07/08/2006
Last updated
09/16/2008
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