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Organization
VITALITY WOMEN'S PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization
VITALITY WOMEN'S PHYSICAL THERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SERGEANT HUNGATE PT, DPT, WCS, MS (PHYSICAL THERAPIST/CO-OWNER)
(331) 215-4164
Entity
Organization
Contact information
Practice address
263 N YORK ST, SUITE 200, ELMHURST, IL 60126-2758
(331) 215-4164
(331) 223-9724
Mailing address
263 N YORK ST, SUITE 200, ELMHURST, IL 60126-2758
(331) 215-4164
(331) 223-9724
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
—
—
225100000X
Physical Therapist
070013648
IL
225100000X
Physical Therapist
Primary
070013653
IL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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