Individual
SAMANTHA VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 TURNPIKE ST, NORTH ANDOVER, MA 01845-5806
(203) 915-6552
Mailing address
24 MANOR DR, CHESHIRE, CT 06410-2614
(203) 915-6552
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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