| NPI | 1588020606 |
|---|---|
| Doing Business As | ELITE REHAB @ CAPITOL CITY |
| Entity Type | Organization |
| Authorized Contact | PAMELA PALMER VAN ETTEN Administrator 334-799-5853 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2021-07-21 |