Elite Orthopedic Mobile Therapy LLC

NPI #1205397601 in Gilbert, Arizona

Provider Information

NPI Number: 1205397601
Entity Type: Organization
Organization Name: Elite Orthopedic Mobile Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Mar 27, 2019
Last Updated: Mar 27, 2019

Practice Location

Address: 695 W STANFORD AVE
City: Gilbert
State: Arizona
ZIP Code: 85233-2622
Phone: (480) 766-1033

Authorized Official

Name: PRESTON LEE COLLINS, PT, DPT
Title: OWNER
Phone: (480) 766-1033

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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