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Organization
VITALITY PHYSICAL THERAPY, PLLC
Active
Organization
VITALITY PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN OOMMEN DPT (OWNER)
(516) 776-7631
Entity
Organization
Contact information
Practice address
179 SOUTH ST, NEW HYDE PARK, NY 11040-2424
(516) 776-7631
Mailing address
179 SOUTH ST, NEW HYDE PARK, NY 11040-2424
(516) 776-7631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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