Elite Therapy Services Llc | |
6034 Heath Valley Rd Charlotte NC 28210-4352 | |
(704) 577-9937 | |
Not Available |
Full Name | Elite Therapy Services Llc |
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Speciality | Physical Therapist |
Location | 6034 Heath Valley Rd, Charlotte, North Carolina |
Authorized Official Name and Position | Christopher Dyba (OWNER, PT) |
Authorized Official Contact | 7045779937 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elite Therapy Services Llc 6034 Heath Valley Rd Charlotte NC 28210-4352 Ph: () - | Elite Therapy Services Llc 6034 Heath Valley Rd Charlotte NC 28210-4352 Ph: (704) 577-9937 |
NPI Number | 1255962007 |
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Provider Enumeration Date | 01/30/2020 |
Last Update Date | 01/24/2022 |
Certification Date | 01/24/2022 |
Medicare PECOS PAC ID | 6709202641 |
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Medicare Enrollment ID | O20200821002114 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255962007 | NPI | - | NPPES |
Provider Name | Christopher Marcel Dyba |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265073423 PECOS PAC ID: 2264855402 Enrollment ID: I20200707002744 |
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