Gina Vitale, PTA
Physical Therapy Assistant in Beverly, MA. Individual provider (NPI-1).
NPI number1982169041
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1982169041
- Entity type
- Individual (NPI-1)
- Name
- Gina Vitale
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2019
- Last updated
- Feb 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 7703 | MA | Yes |
Practice location
100 Cummings Ctr Ste 166dBeverly, MA 01915-6135
Phone 978-712-3370 · Fax 978-922-4416
Mailing address
100 Cummings Center166 D
Beverly, MA 01915
Phone 978-712-3370 · Fax 978-922-4416
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All 10 Physical Therapy Assistant providers in Beverly · All 2,599 providers in Beverly
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