Individual
PATRICIA VITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
452 S SPRINGFIELD AVE, BOLIVAR, MO 65613-2146
(417) 326-3183
(417) 326-3184
Mailing address
471 FOREST DR, MARSHFIELD, MO 65706-2431
(417) 326-3183
(417) 326-3184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
000607
MO
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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