Organization
REVITAL PHYSICAL THERAPY LLC
Active
Organization
REVITAL PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVJOT TATLAH (OWNER)
(510) 399-5548
Entity
Organization
Contact information
Practice address
32206 DEBORAH DR, UNION CITY, CA 94587-4724
(510) 399-5548
Mailing address
32206 DEBORAH DR, UNION CITY, CA 94587-4724
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
07/20/2023
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