Organization
VITALY REHAB INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VITALY BELEVITCH MPT (PHYSICAL THERAPIST)
(941) 249-1913
Entity
Organization
Contact information
Practice address
12450 TIMIAMI TRAIL, SUITE-E, NORTH PORT, FL 34287
(941) 257-4763
Mailing address
21499 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954
(941) 249-1913
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT26357
PA
Other
Enumeration date
12/27/2013
Last updated
12/27/2013
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