| NPI | 1174821235 |
|---|---|
| Doing Business As | ELITE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | DALE FUNK Co Owner 325-698-3865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |