Organization
VITAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHILI LATI PT (OWNER)
(917) 667-3590
Entity
Organization
Contact information
Practice address
2401 M ST NW, WASHINGTON, DC 20037-1408
(917) 667-3590
Mailing address
1773 LANIER PL NW APT 22, WASHINGTON, DC 20009-2135
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
870452
DC
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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