Elemental Sports Pt LLC

NPI #1154949196 in Wayne, Pennsylvania

Provider Information

NPI Number: 1154949196
Entity Type: Organization
Organization Name: Elemental Sports Pt LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 7, 2020
Last Updated: Jul 7, 2020

Practice Location

Address: 209 W WAYNE AVE
City: Wayne
State: Pennsylvania
ZIP Code: 19087-3917
Phone: (302) 528-1007

Authorized Official

Name: DANIEL C SINGLES, PT, DPT
Title: CEO
Phone: (302) 528-1007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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