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Organization
WLC VITALITY IN MOTION THERAPY TEAM
Active
Organization
WLC VITALITY IN MOTION THERAPY TEAM
Active
Other names
Vitality in Motion
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT STOUT LNHA (CEO/OWNER)
(618) 713-5284
Entity
Organization
Contact information
Practice address
35 S VINE ST, HARRISBURG, IL 62946-1738
(618) 713-5284
(618) 294-8699
Mailing address
35 S VINE ST, HARRISBURG, IL 62946-1738
(618) 713-5284
(618) 294-8699
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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