RICHARD JASON VITAL

AUGUSTA, GA
NPI1023124914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT002386)
Enumeration Date2006-08-22
Last Update Date2007-07-08
Business Address
Mr. RICHARD JASON VITAL OTR/L
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
Mailing Address
Mr. RICHARD JASON VITAL OTR/L
740 LANCASTER RD
AUGUSTA, GA 30909-3206
Phone number: 706-481-0342
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