Organization
ELITE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUINTON BRADLEY (DIRECTOR)
(501) 765-2911
Entity
Organization
Contact information
Practice address
80 WESTMINISTER DR, LITTLE ROCK, AR 72209-2949
(501) 765-2911
Mailing address
80 WESTMINISTER DR, LITTLE ROCK, AR 72209-2949
(501) 765-2911
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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