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Contact Information

VITAL PERFORMANCE PHYSICAL THERAPY LLC
9 MARY WAY
HAINESPORT, NJ08036-2729
 Phone: 609-676-5905
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy

261QP2000X
Indicates primary specialty

NPI Profile & details for VITAL PERFORMANCE PHYSICAL THERAPY LLC

NPI Number 1629795273
LBN Legal business name VITAL PERFORMANCE PHYSICAL THERAPY LLC
Authorized official MICHAEL SHADDOW - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2022
Last updated 10/25/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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