| Elite Performance Lab, Llc | |
|
40 W Main St, New Market, MD 21774-6290 | |
| (240) 529-7987 | |
| Not Available |
| Full Name | Elite Performance Lab, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 40 W Main St, New Market, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942035282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Performance Lab, Llc 7031 Eaglehead Dr, New Market, MD 21774-6875 Ph: (240) 529-7987 | Elite Performance Lab, Llc 40 W Main St, New Market, MD 21774-6290 Ph: (240) 529-7987 |
Tara Ebersole, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11670 Old National Pike Ste 101, New Market, MD 21774 Phone: 301-473-5945 | |
Mrs. Stephanie Renee Dunker, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6619 Edgewood Rd, New Market, MD 21774 Phone: 240-405-5098 |