NPI 1144434622

Steven Thomas Vitale, CPO

Practitioner Orthotic Fitter Modesto, CA

Practice location

Address: 1005 W Orangeburg Ave STE a, Modesto, CA 95350-4163
Phone: (209) 575-1063
Fax: (209) 575-1065

Registered specialties

Orthotic Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence CPO2516 (CA)

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Registry record

NPI: 1144434622
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 May 2007
Record last updated: 9 Jul 2007

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.