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Individual

ANNIKA VITOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21635 BIDEN AVE UNIT 207, BEEBE HEALTHCARE HEALTHYBACK, GEORGETOWN, DE 19947-4576
(302) 217-3000
(302) 217-3005
Mailing address
21635 BIDEN AVE UNIT 207, BEEBE HEALTHCARE HEALTHYBACK, GEORGETOWN, DE 19947-4576
(302) 217-3000
(302) 217-3005

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00636700
NJ
225100000X
Physical Therapist
Primary
J10003207
DE

Other

Enumeration date
07/11/2006
Last updated
06/24/2015
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