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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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