Elite Physical Therapy

NPI #1871789727 in Providence, Rhode Island

Provider Information

NPI Number: 1871789727
Entity Type: Organization
Organization Name: Elite Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Sep 24, 2007
Last Updated: Sep 24, 2007

Practice Location

Address: 285 GOVERNOR ST
City: Providence
State: Rhode Island
ZIP Code: 02906-3237
Phone: (401) 276-0800

Authorized Official

Name: MICHAEL A NULA, MSPT
Title: OWNER/MSPT
Phone: (401) 737-6011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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