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Organization

ELITE PERFORMANCE LAB, LLC

Active
Other names
New Market Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MADISON ANGUS PTA (OWNER)
(240) 529-7987
Entity
Organization

Contact information

Practice address
40 W MAIN ST, NEW MARKET, MD 21774-6290
(240) 529-7987
Mailing address
40 W MAIN ST, NEW MARKET, MD 21774-6290
(240) 529-7987
(833) 648-2517

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
09/05/2024
Last updated
11/10/2025
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