Annika Vitolo, | |
21635 Biden Ave Unit 207, Beebe Healthcare Healthyback, Georgetown, DE 19947-4576 | |
(302) 217-3000 | |
(302) 217-3005 |
Full Name | Annika Vitolo |
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Gender | Female |
Speciality | Physical Therapist |
Location | 21635 Biden Ave Unit 207, Georgetown, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548294721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00636700 (New Jersey) | Secondary |
225100000X | Physical Therapist | J10003207 (Delaware) | Primary |
Provider Name | Summit Orthopaedic Home Care, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861898330 PECOS PAC ID: 9537472147 Enrollment ID: O20150724010659 |
Mailing Address | Practice Location Address |
---|---|
Annika Vitolo, 21635 Biden Ave Unit 207, Beebe Healthcare Healthyback, Georgetown, DE 19947-4576 Ph: (302) 217-3000 | Annika Vitolo, 21635 Biden Ave Unit 207, Beebe Healthcare Healthyback, Georgetown, DE 19947-4576 Ph: (302) 217-3000 |
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