Gerald John Vitale JR., PTA, DPT

NPI #1841943578 in Dallas, Pennsylvania

Provider Information

NPI Number: 1841943578
Entity Type: Individual
Name: Gerald John Vitale JR., PTA, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PTA, DPT
Enumeration Date: Feb 2, 2022
Last Updated: Feb 3, 2022

Practice Location

Address: 64 RIDGWAY DR STE 1
City: Dallas
State: Pennsylvania
ZIP Code: 18612-9263
Phone: (570) 675-1866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary
Physical Therapy Assistant	225200000X

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