Organization
ELEVATE THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSE BOLLIER PT (OWNER)
(580) 920-3819
Entity
Organization
Contact information
Practice address
523 N WASHINGTON AVE, DURANT, OK 74701-3403
(580) 634-2423
Mailing address
PO BOX 545, DURANT, OK 74702-0545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
06/21/2021
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