Individual
GIUSEPPE ANTHONY MICHAEL VITULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA 48600
Contact information
Practice address
1471 S RIVERSIDE AVE, RIALTO, CA 92376-7703
(909) 877-1361
Mailing address
28715 CARNOUSTIE AVE, MORENO VALLEY, CA 92555-7010
(951) 212-4051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48600
CA
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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