Vital Life Physical Therapy

NPI #1053937508 in Longview, Texas

Provider Information

NPI Number
1053937508
Entity Type
Organization
Organization Name
Vital Life Physical Therapy
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jun 21, 2020
Last Updated
Jun 21, 2020

Practice Location

Address
2628 BILL OWENS PKWY
State
Texas
ZIP Code
75604-3001
Phone
(903) 241-1274

Authorized Official

Name
MRS. SARAH YVONNE RUDOLPH, P.T.
Title
OWNER
Phone
(903) 241-1274

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Physical TherapyPhysical Therapy

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