# VITALCARE PHYSICAL THERAPY AND REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780131193
- **Authorized official:** LEARY DEAN D MCINTOSH (PRESIDENT)
- **Authorized official phone:** (954) 501-1191

## Contact information

- **Practice address:** 679 WISTERIA WAY, GARDENDALE, AL 35071-3680
- **Practice address phone:** (305) 606-2997
- **Mailing address:** 679 WISTERIA WAY, GARDENDALE, AL 35071-3680
- **Mailing address phone:** (305) 606-2997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PT26290 | FL | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 03/30/2018