Individual
ALEXIS ROSE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
4009 CRAIG AVE, CHARLOTTE, NC 28211-2505
(704) 365-2620
Mailing address
558 E BROOKLYN VILLAGE AVE, CHARLOTTE, NC 28202-3396
(315) 406-6434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16835
NC
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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