Individual
AMIE VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 HIGHWAY 308, NAPOLEONVILLE, LA 70390-2105
(985) 369-7251
Mailing address
658 PAIGE LN, PIERRE PART, LA 70339-4172
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
305512
LA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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