# VITALITY PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1972915841
- **Authorized official:** RUCHI ACHARYA MSPT (OWNER)
- **Authorized official phone:** (240) 505-3923

## Contact information

- **Practice address:** 3510 RAYMOOR RD, KENSINGTON, MD 20895-3126
- **Practice address phone:** (240) 505-3923
- **Mailing address:** 3510 RAYMOOR RD, KENSINGTON, MD 20895-3126
- **Mailing address phone:** (240) 505-3923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 022354 | PA | Yes |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 12/16/2020