Organization
ELITE THERAPY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M COSGRAVE PT (CEO/OWNER)
(317) 325-8860
Entity
Organization
Contact information
Practice address
250 SHENANDOAH DR, LAFAYETTE, IN 47905-5927
(317) 325-8860
Mailing address
12647 TIMBER CREST DR, CARMEL, IN 46033-8639
(317) 325-8860
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
11/11/2021
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