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Organization
VITAL THERAPY, LLC
Active
Organization
VITAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL DEAN BROTSKY DPT (OWNER)
(215) 264-8351
Entity
Organization
Contact information
Practice address
352 2ND STREET PIKE UNIT 397, SOUTHAMPTON, PA 18966-3834
(215) 264-8351
(267) 571-9947
Mailing address
352 2ND STREET PIKE UNIT 397, SOUTHAMPTON, PA 18966-3834
(215) 264-8351
(267) 571-9947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
02/12/2020
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