Individual
ROXANNE LEIA VITEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Mailing address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00294000
NJ
225200000X
Physical Therapy Assistant
A3897
MD
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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