Organization Name: | ELITE PT LLC |
NPI Number: | 1063787737 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN F. KNARR (PRESIDENT/PT) |
Mailing Address: | 100 Fitness Way Hockessin |
State: | DE US |
Postal Code: | 197072423 |
Phone Number: | 3022341030 |
Fax Number: | 3022341032 |
NPI Enumeration Date: | 03/14/2012 |
NPI Last Update Date: | 09/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | J10000675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |