Organization
ELITE REHAB WEDOWEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA P VAN ETTEN (ADMINISTRATOR)
(334) 799-5853
Entity
Organization
Contact information
Practice address
14090 CO RD 15, WEDOWEE, AL 36278-7180
(256) 357-1077
(256) 357-1078
Mailing address
14090 COUNTY ROAD 15, WEDOWEE, AL 36278-6369
(256) 357-1077
(256) 357-1078
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
11/06/2025
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