Elite Sports, Inc.

NPI #1093811408 in Stoughton, Massachusetts

Provider Information

NPI Number: 1093811408
Entity Type: Organization
Organization Name: Elite Sports, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Sep 15, 2006
Last Updated: Jul 12, 2013

Practice Location

Address: 1519 CENTRAL ST
City: Stoughton
State: Massachusetts
ZIP Code: 02072-4415
Phone: (781) 297-0979

Authorized Official

Name: KEITH EDWARD CALLANAN, MPT
Title: PRESIDENT
Phone: (781) 297-0979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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