Vital Performance Physical Therapy LLC
NPI #1629795273 in Hainesport, New Jersey
Provider Information
- NPI Number
- 1629795273
- Entity Type
- Organization
- Organization Name
- Vital Performance Physical Therapy LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Oct 25, 2022
- Last Updated
- Oct 25, 2022
Practice Location
- Address
- 9 MARY WAY
- City
- Hainesport
- State
- New Jersey
- ZIP Code
- 08036-2729
- Phone
- (609) 676-5905
Authorized Official
- Name
- DR. MICHAEL SHADDOW, DPT
- Title
- OWNER
- Phone
- (609) 864-1709
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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