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Organization

ELITE PEDIATRIC SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA P VAN ETTEN (DIRECTOR OF CREDENTIALING)
(334) 799-5853
Entity
Organization

Contact information

Practice address
97 HUGHES RD STE H, MADISON, AL 35758-3401
(662) 760-6138
Mailing address
97 HUGHES RD STE H, MADISON, AL 35758-3401

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
12/11/2024
Last updated
01/10/2025
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