Stacey M Vitale, PTA
NPI #1871927210 in Cape Girardeau, Missouri
Provider Information
- NPI Number
- 1871927210
- Entity Type
- Individual
- Name
- Stacey M Vitale, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 21, 2013
- Last Updated
- Aug 21, 2013
Practice Location
- Address
- 1405 N MOUNT AUBURN RD
- City
- Cape Girardeau
- State
- Missouri
- ZIP Code
- 63701-2171
- Phone
- (573) 335-7868
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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