Organization
ELITE REHAB AND PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULINE SHIVER PT, DPT (OWNER AND CEO)
(404) 229-9118
Entity
Organization
Contact information
Practice address
3025 NC HIGHWAY 24, UNIT 3, NEWPORT, NC 28570
(252) 222-0424
Mailing address
3025 NC HIGHWAY 24, UNIT 3, NEWPORT, NC 28570
(252) 222-0424
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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