Elite Care Providers PC

NPI #1356667489 in Champaign, Illinois

Provider Information

NPI Number: 1356667489
Entity Type: Organization
Organization Name: Elite Care Providers PC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 14, 2010
Last Updated: Nov 22, 2010

Practice Location

Address: 704 GOLDENVIEW DR
City: Champaign
State: Illinois
ZIP Code: 61821-3430
Phone: (217) 418-0118

Authorized Official

Name: JONAS RAFAEL MOLINA, PT
Title: PRESIDENT
Phone: (217) 418-0118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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