Elite Physical Therapy, PLLC
Clinic/Center, Physical Therapy in Edmond, OK. Organization (NPI-2).
NPI number1255055893
StatusActive
Last updated in NPPESSep 28, 2022
Details
- NPI
- 1255055893
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Physical Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- Sep 28, 2022
- Last updated
- Sep 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Elite Physical Therapy (Doing Business As)
Practice location
2408 Twister TrlEdmond, OK 73034-2382
Phone 405-831-5100
Mailing address
2408 Twister TrlEdmond, OK 73034-2382
Phone 405-831-5100
Authorized official
Kathryn Deaton
Owner/Founder
4058315100
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