Organization
ELITE PHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA LOUISE CABERWAL PT,DPT (OWNER)
(904) 347-4755
Entity
Organization
Contact information
Practice address
2066 JUNIPER LAKE RD, WEST END, NC 27376-8919
(910) 315-0165
Mailing address
6 CARDINAL DR, WHISPERING PINES, NC 28327-9396
(904) 347-4755
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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