# VITAL ENERGY OCCUPATIONAL THERAPY & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vital Energy Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134551872
- **Authorized official:** MRS. HIMA N DALAL OTR/L (OWNER)
- **Authorized official phone:** (803) 359-1551

## Contact information

- **Practice address:** 450 KILLIAN RD, COLUMBIA, SC 29203-9751
- **Practice address phone:** (803) 359-1551
- **Practice address fax:** (803) 359-0362
- **Mailing address:** 163 CHARTER OAK RD, LEXINGTON, SC 29072-9246
- **Mailing address phone:** (803) 359-1551
- **Mailing address fax:** (803) 359-0362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6656 | SC | Yes |
| 225X00000X | Occupational Therapist | 2626 | SC | — |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 08/06/2013