| NPI | 1376162289 |
|---|---|
| Doing Business As | VITAL THERAPY |
| Doing Business As | VITALTHERAPY |
| Entity Type | Organization |
| Authorized Contact | LIANA RASCHKE VALLA Owner 904-874-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |