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Organization
VITALITY PERFORMANCE AND PHYSICAL THERAPY
Active
Organization
VITALITY PERFORMANCE AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DE LA CRUZ (PRESIDENT)
(623) 498-7881
Entity
Organization
Contact information
Practice address
19888 N 73RD AVE, GLENDALE, AZ 85308-8904
(888) 620-6202
Mailing address
2001 W ROSE GARDEN LN, PHOENIX, AZ 85027-2615
(888) 620-6202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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