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1053937508
VITAL LIFE PHYSICAL THERAPY
LONGVIEW, TX
NPI
1053937508
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Entity Type
Organization
Authorized Contact
SARAH YVONNE RUDOLPH
Owner
903-241-1274
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
Enumeration Date
2020-06-21
Last Update Date
2020-06-21
Business Address
VITAL LIFE PHYSICAL THERAPY
2628 BILL OWENS PKWY
LONGVIEW, TX 75604-3001
Phone number: 903-241-1274
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Mailing Address
VITAL LIFE PHYSICAL THERAPY
331 DEERFIELD LAKE CIR
LONGVIEW, TX 75605-7756
Phone number: 903-241-1274
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