Individual
RACHAEL VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1138 SHACKELFORD RD SPC 3, FLORISSANT, MO 63031-4369
(314) 907-0200
Mailing address
2875 FOXWOOD DR, MARYLAND HTS, MO 63043-1767
(314) 343-9965
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2023032954
MO
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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