Organization
ELITE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA JADE STANLEY OTR/L, LPTA (OWNER)
(256) 347-5206
Entity
Organization
Contact information
Practice address
316 GOLDEN SPRINGS RD, ANNISTON, AL 36207-6906
(256) 347-5206
Mailing address
316 GOLDEN SPRINGS RD, ANNISTON, AL 36207-6906
(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
07/12/2022
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