Organization
ELIXIR PHYSICAL THERAPY LLC
Active
Other names
Elixir Physical Thearpy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MANOJ KUMAR (PRESIDENT)
(937) 603-1941
Entity
Organization
Contact information
Practice address
1303 W 1ST ST, SPRINGFIELD, OH 45504-1920
(937) 717-4045
Mailing address
35 GLENLUCE CT, SPRINGBORO, OH 45066-1557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.007464
OH
Other
Enumeration date
10/01/2012
Last updated
12/03/2013
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