Organization
ELITE PHYSICAL MEDICINE AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SEGRAVES (OWNER)
(513) 486-3744
Entity
Organization
Contact information
Practice address
6213 SNIDER RD STE A, MASON, OH 45040-2793
(513) 486-3744
Mailing address
6213 SNIDER RD STE A, MASON, OH 45040-2643
(513) 486-3744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/22/2018
Last updated
01/10/2023
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