Individual
VANESSA VITULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 LINCOLN HWY, EDISON, NJ 08817-3351
(732) 777-9733
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
02/11/2020
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