Organization
ELITE PERFORMANCE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PUGH DPT, ATC, SCS (CO-OWNER / PHYSICAL THERAPIST)
(434) 964-6952
Entity
Organization
Contact information
Practice address
19719 LEITERSBURG PIKE, HAGERSTOWN, MD 21742-1443
(434) 964-6952
Mailing address
19719 LEITERSBURG PIKE, HAGERSTOWN, MD 21742-1443
(434) 964-6952
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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