Organization
ELITE PHYSICAL THERAPY LLC
Active
Other names
CORA Physical Therapy - South County
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KRZYMINSKI (EXECUTIVE VICE PRESIDETN)
(419) 221-6717
Entity
Organization
Contact information
Practice address
12626 LAMPLIGHTER SQUARE, SAINT LOUIS, MO 63128-2746
(314) 842-4222
(314) 842-9363
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2012
Last updated
10/19/2023
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