Organization
ELITE THERAPY OF AZ
Active
Other names
Elite Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RENEE STUMP (OWNER)
(480) 408-3250
Entity
Organization
Contact information
Practice address
15245 S 48TH STREET, PHOENIX, AZ 85044
(615) 948-7646
Mailing address
1705 W WILDWOOD DR, PHOENIX, AZ 85045-3700
(480) 408-3250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
01/29/2020
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