Elite Physical Therapy, Inc.

NPI #1164594859 in Commerce, Georgia

Provider Information

NPI Number
1164594859
Entity Type
Organization
Organization Name
Elite Physical Therapy, Inc.
Primary Specialty
Physical Therapist
Enumeration Date
Nov 15, 2006
Last Updated
Mar 4, 2009

Practice Location

Address
205 MERCER PL
Address 2
HOMER ROAD
State
Georgia
ZIP Code
30529-1564
Phone
(706) 335-3816

Authorized Official

Name
MR. BRIAN EUGENE VANDIVER, PT
Title
PT CO OWNER PRESIDENT
Phone
(706) 335-3816

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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