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Organization
VITALIZE HOME THERAPY PLLC
Active
Organization
VITALIZE HOME THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN STANLEY OT (MANAGING MEMBER/OWNER)
(773) 573-4443
Entity
Organization
Contact information
Practice address
5140 N OAKLEY AVE, CHICAGO, IL 60625-1847
(773) 573-4443
Mailing address
5140 N OAKLEY AVE, CHICAGO, IL 60625-1847
(773) 573-4443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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