# VITALITY REHABILITY

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

## Provider details

- **NPI number:** 1982212171
- **Authorized official:** JULIE WOLSTEIN (CFO)
- **Authorized official phone:** (403) 389-4936

## Contact information

- **Practice address:** 450 KNIGHTS RUN AVE, TAMPA, FL 33602-6300
- **Practice address phone:** (403) 389-4936
- **Mailing address:** PO BOX 7982, SEMINOLE, FL 33775-7982
- **Mailing address phone:** (727) 906-7221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 07/14/2020
