Organization
ELITE REHAB HOLTVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA P VAN ETTEN (ADMINISTRATOR)
(334) 799-5853
Entity
Organization
Contact information
Practice address
213 LIGHTWOOD RD STE 2, DEATSVILLE, AL 36022
(334) 543-4269
(334) 543-4272
Mailing address
213 LIGHTWOOD RD STE 2, DEATSVILLE, AL 36022
(334) 543-4269
(334) 543-4272
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/24/2025
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