Michele Terese Vita, DPT, OCS

NPI #1184835050 in Lackland a F B, Texas

Provider Information

NPI Number: 1184835050
Entity Type: Individual
Name: Michele Terese Vita, DPT, OCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, OCS
Enumeration Date: May 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2200 BERGQUIST DR STE 1
Address 2: ATTN CREDENTIALS
City: Lackland a F B
State: Texas
ZIP Code: 78236-9908
Phone: (210) 292-6225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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