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Organization
VITAL CARE HS, LLC
Active
Organization
VITAL CARE HS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRMA TETRUASHVILY MPT (PHYSICAL THERAPIST OWNER)
(856) 985-5428
Entity
Organization
Contact information
Practice address
9 NORMANDY RD, MARLTON, NJ 08053-5525
(856) 552-0449
(856) 552-0187
Mailing address
9 NORMANDY RD, MARLTON, NJ 08053-5525
(856) 552-0449
(856) 552-0187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00988600
NJ
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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