Individual
TERESA MARIE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
17280 BUCKTHORN DR, CHAGRIN FALLS, OH 44023-1412
(440) 463-6606
(440) 543-5120
Mailing address
17280 BUCKTHORN DR, CHAGRIN FALLS, OH 44023-1412
(440) 463-6606
(440) 543-5120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
P T 08117
OH
Other
Enumeration date
09/26/2006
Last updated
07/09/2007
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