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NPI Code Detail

MEDICARE: MR. JAMES V VITALE PT

MEDICARE:  MR. JAMES V VITALE  PT
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 Therapist3479OH

General Provider Information

NPI Number : 1659311587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES V VITALE PT
Provider Business Mailing Address
First Line : PO BOX 378
Second Line :
City : SANDUSKY
State : OH
Zip : 44871-0378
Country : US
Telephone Number : 419-626-6161
Fax Number : 419-502-3511
Provider Business Practice Location Address
First Line : 3130 CENTRAL PARK W STE A
Second Line :
City : TOLEDO
State : OH
Zip : 43617-1088
Country : US
Telephone Number : 419-841-9622
Fax Number : 419-843-8788
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 05/01/2019

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