Vital Self Physical Therapy, LLC
NPI #1578909487 in Forestville, Maryland
Provider Information
- NPI Number
- 1578909487
- Entity Type
- Organization
- Organization Name
- Vital Self Physical Therapy, LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- May 18, 2013
- Last Updated
- Jun 18, 2013
Practice Location
- Address
- 7610 PENNSYLVANIA AVE
- City
- Forestville
- State
- Maryland
- ZIP Code
- 20747-4701
- Phone
- (313) 550-6367
Authorized Official
- Name
- LAUREN H COLLINS, MPT, CLT-LANA
- Title
- PHYSICAL THERAPIST
- Phone
- (313) 550-6367
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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