Individual
GINA VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 CUMMINGS CTR STE 166D, BEVERLY, MA 01915-6135
(978) 712-3370
(978) 922-4416
Mailing address
100 CUMMINGS CENTER, 166 D, BEVERLY, MA 01915
(978) 712-3370
(978) 922-4416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7703
MA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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