Organization
ELITE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LOUISE ROBERTSON (OWNER)
(410) 799-0818
Entity
Organization
Contact information
Practice address
8165 CYPRUS CEDAR LN, SUITE 205, ELLICOTT CITY, MD 21043-5559
(410) 799-0818
(410) 799-2653
Mailing address
8165 CYPRUS CEDAR LN, SUITE 205, ELLICOTT CITY, MD 21043-5559
(410) 799-0818
(410) 799-2653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16845
MD
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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