Organization
VITZ MEDICAL LLC
Active
Other names
Back In Action Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ROBERT VITZAKOVITCH PT (OWNER)
(570) 498-6858
Entity
Organization
Contact information
Practice address
504 1/2 SCRANTON CARBONDALE HWY, MAYFIELD, PA 18433
(570) 498-6858
Mailing address
210 PLEASANT VIEW DR, GREENFIELD TOWNSHIP, PA 18407-3923
(570) 498-6858
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT-009794L
PA
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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