| NPI | 1891306809 |
|---|---|
| Former Legal Business Name | ELITE SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIKO ELBY LEE President/Physical Therapist 626-230-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2022-12-21 |