Alexis Vitale

NPI 1750664470 - Developmental Therapist - 222Q00000X

NPI Details
NPI 1750664470
Gender Female
Enumeration Date 09/20/2011
Last Updated 09/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
2708 NE 14TH ST
SUITE 5
POMPANO BEACH FL, 33062-3565, US
Phone (888) 880-9270
Fax
Business Location
2004 BANISTER LOOP
JACKSONVILLE NC, 28546-7197, US
Phone
Fax
Toxanomy
Taxonomy Code 222Q00000X
License State Pennsylvania
License Number 27541199
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According to our database, Mrs. Alexis Vitale NPI is 1750664470, taxonomy code is 222Q00000X and license number is 27541199, license state is located at Pennsylvania. Alexis Vitale physically located at 2708 Ne 14th St, Pompano Beach FL, 33062-3565. NPI Number Alexis Vitale has the Individual type.

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1750664470 NPI number is provided on an as is basis without warranty of any kind. 1750664470 is maintained by the National Plan & Provider Enumeration System. The contents of Alexis Vitale are for informational purposes only.