NPI | 1528606357 |
---|---|
Doing Business As | ELITE SPORTS PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | DENISE WISE Administrator 254-732-5981 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2019-12-11 |
Last Update Date | 2025-03-19 |