Organization
VITAL CARE REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA J MCWHORTER DPT (ADMINISTRATOR)
(623) 544-0300
Entity
Organization
Contact information
Practice address
14545 W GRAND AVE, SUITE 108, SURPRISE, AZ 85374-7278
(623) 544-0300
(623) 544-0239
Mailing address
14545 W GRAND AVE, SUITE 108, SURPRISE, AZ 85374-7278
(623) 544-0300
(623) 544-0239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
AZ
Other
Enumeration date
05/31/2006
Last updated
10/29/2013
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