Organization
SMART ATHLETE PHYSIOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL ANGELO VITA JR. PT, DPT, ECS (CO-OWNER/PHYSICAL THERAPIST)
(919) 624-2358
Entity
Organization
Contact information
Practice address
1017 E WHITAKER MILL RD, RALEIGH, NC 27608-2757
(919) 424-6055
Mailing address
5153 FAIRMEAD CIR, RALEIGH, NC 27613-7858
(919) 424-6055
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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