Organization
ELITE CARE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALEA ACAP KNIGHT DPT, ATC, CKTP (OWNER)
(410) 867-1517
Entity
Organization
Contact information
Practice address
5950 DEALE CHURCHTON RD, DEALE, MD 20751-9730
(410) 867-1517
(240) 244-0601
Mailing address
PO BOX 355, CHURCHTON, MD 20733-0355
(410) 867-1517
(240) 244-0601
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
23487
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188002100
—
MD
Enumeration date
06/24/2014
Last updated
08/31/2015
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