NPI 1275095960
Vital Therapy, LLC
Practice location
- Address
- 352 2nd Street Pike Unit 397, Southampton, PA 18966-3834
- Phone
- (215) 264-8351
- Fax
- (267) 571-9947
Authorised official
- Name
- Mitchell Dean Brotsky
- Title
- Owner
- Phone
- (215) 264-8351
Registered specialties
Physical Therapist
Primary
Registry record
- NPI
- 1275095960
- Entity type
- Organization
- NPI issued
- 2 Apr 2019
- Record last updated
- 12 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.