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NPI Code Detail

MEDICARE: EELIO, LLC

MEDICARE: EELIO, 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
1225100000XPhysical Therapist
2225X00000XOccupational Therapist
3235Z00000XSpeech-Language Pathologist8692NC

General Provider Information

NPI Number : 1891087268
Entity Type Code : Organization
Provider Name (Legal Business Name) : EELIO, LLC
Provider Business Mailing Address
First Line : 2166 GOLD HILL RD
Second Line : SUITE B
City : FORT MILL
State : SC
Zip : 29708-9351
Country : US
Telephone Number : 803-802-5508
Fax Number : 803-802-5528
Provider Business Practice Location Address
First Line : 3227 LUKE CROSSING DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-3357
Country : US
Telephone Number : 626-399-5767
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. ALEXIA GALAKATOS
Credential : MA, CCC-SLP
Telephone Number : 626-399-5767
Provider Enumeration Date : 05/04/2011
Last Update Date : 05/04/2011

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Directions to “EELIO, LLC ” Practice Location

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