person
Mr. Steven Thomas Vitale, CPO
Orthotic Fitter in Modesto, California
NPI 1144434622

Steven Thomas Vitale is a Orthotic Fitter based in Modesto, CA. Steven Thomas Vitale practices in Modesto, CA and has the professional credentials of CPO. The NPI Number for Steven Thomas Vitale is 1144434622 and holds a License No. CPO2516 (California).

The current practice location address for Steven Thomas Vitale is 1005 W Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-575-1063 and via fax at 209-575-1065.

Location: 1005 W Orangeburg Ave, Modesto, CA, 95350-4163
person
Provider Profile Details
NPI Number
1144434622
Provider Name
Steven Thomas Vitale
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
1005 W Orangeburg Ave, Modesto, CA, 95350-4163
Phone Number
209-575-1063
Fax Number
209-575-1065
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XA0151460 05 CA
institution
Provider Business Practice Location Address Details
Address
1005 W Orangeburg Ave
City
State
Zip
95350-4163
Phone Number
209-575-1063
Fax Number
209-575-1065
person
Provider Business Mailing Address Details
Address
1005 W Orangeburg Ave
City
State
Zip
95350-4163
Phone Number
209-575-1063
Fax Number
209-575-1065
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
License No.
CPO2516 (California)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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