Organization
ELITE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA P VAN ETTEN (ADMINISTRATOR)
(334) 799-5853
Entity
Organization
Contact information
Practice address
935 HIGHWAY 431 STE 1, ROANOKE, AL 36274-7332
(334) 863-2068
(334) 863-2069
Mailing address
935 HIGHWAY 431, SUITE 1, ROANOKE, AL 36274-7331
(334) 863-2068
(334) 863-2069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
04/24/2025
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