Individual
JENNIFER VITALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3205 COFER RD, FALLS CHURCH, VA 22042-4212
(703) 772-7253
Mailing address
3205 COFER RD, FALLS CHURCH, VA 22042-4212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206550
VA
Other
Enumeration date
09/22/2011
Last updated
07/31/2016
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