Individual
MRS. IRENE VITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
160 OVERLOOK AVE APT 24B, HACKENSACK, NJ 07601-2231
(973) 420-6696
Mailing address
160 OVERLOOK AVE APT 24B, HACKENSACK, NJ 07601-2231
(973) 420-6696
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00955600
NJ
225100000X
Physical Therapist
46TA09092700
NJ
Other
Enumeration date
04/03/2007
Last updated
07/07/2021
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