Organization
ELITE THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DICKE PT, DPT (CEO, OWNER)
(914) 484-1731
Entity
Organization
Contact information
Practice address
2312 S DIXON RD STE 250, KOKOMO, IN 46902-6426
(765) 459-7275
Mailing address
12647 TIMBER CREST DR, CARMEL, IN 46033-8639
(914) 484-1731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/23/2019
Last updated
11/11/2021
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