Individual
MR. JOSEPH VITAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1312 LINCOLN AVE, ALAMEDA, CA 94501-2335
(510) 504-3663
Mailing address
1312 LINCOLN AVE, ALAMEDA, CA 94501-2335
(510) 504-3663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 11287
CA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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