Individual
ASHLEY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 TREMONT ST, BOSTON, MA 02116-5603
(617) 636-5175
Mailing address
260 TREMONT ST, PO BOX 120008, BOSTON, MA 02116-5603
(617) 636-5175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22706
MA
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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