Individual
LAURA MILLER VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
6 ASHWOOD LN, MALVERN, PA 19355-9001
(484) 753-4477
Mailing address
6 ASHWOOD LN, MALVERN, PA 19355-9001
(484) 753-4477
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010760
PA
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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