| NPI | 1023353448 |
|---|---|
| Former Legal Business Name | ELITE PHYSICAL THERAPY ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | AYAKO NIVA SHONO Owner 949-706-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PT14876) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2022-06-29 |