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NPI Code Detail

MEDICARE: ELITE THERAPY SOLUTIONS, LLC

MEDICARE: ELITE THERAPY SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1598346314
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE THERAPY SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 983A E LANCASTER AVE
Second Line :
City : DOWNINGTOWN
State : PA
Zip : 19335-3184
Country : US
Telephone Number : 610-594-2060
Fax Number :
Provider Business Practice Location Address
First Line : 790 E MARKET ST STE 290
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-4891
Country : US
Telephone Number : 610-696-3305
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JAMES PATRICK KINZELER
Credential :
Telephone Number : 610-594-2060
Provider Enumeration Date : 04/15/2021
Last Update Date : 04/15/2021

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Directions to “ELITE THERAPY SOLUTIONS, LLC ” Practice Location

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