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Organization

ELITE THERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARISSA JADE STANLEY OTR/L, PTA (OWNER)
(256) 347-5206
Entity
Organization

Contact information

Practice address
3424 AL HIGHWAY 9 S, PIEDMONT, AL 36272-5305
(256) 251-2565
(256) 251-3423
Mailing address
3424 AL HIGHWAY 9 S, PIEDMONT, AL 36272-5305
(256) 347-5206

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
225100000X
Physical Therapist
225200000X
Physical Therapy Assistant
225X00000X
Occupational Therapist
Primary
2355S0801X
Speech-Language Assistant
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
07/12/2022
Last updated
06/11/2026
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