| NPI | 1093811408 |
|---|---|
| Doing Business As | ELITE SPORTS AND PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KEITH EDWARD CALLANAN President 781-297-0979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA 51) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 51) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2013-07-12 |