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1841943578
GERALD JOHN VITALE
DALLAS, PA
NPI
1841943578
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225200000X Physical Therapy Assistant
Enumeration Date
2022-02-02
Last Update Date
2022-02-03
Business Address
GERALD JOHN VITALE PTA, DPT
64 RIDGWAY DR STE 1
DALLAS, PA 18612-9263
Phone number: 570-675-1866
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Mailing Address
GERALD JOHN VITALE PTA, DPT
PO BOX 1083
KINGSTON, PA 18704
Phone number: 570-332-9276
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