Individual
MRS. ALEXIS VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
2004 BANISTER LOOP, JACKSONVILLE, NC 28546-7197
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
27541199
PA
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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