Individual
GABRIELLE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3306 MEIJER DR, TOLEDO, OH 43617-3103
(419) 824-3434
Mailing address
900 SCOTT ST, MAUMEE, OH 43537-3648
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0012466
OH
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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