Citadel Vital
Citadel Vital is a Physical Therapist in Private Practice in Salisbury, Maryland. Qualified in 2016, 10 years ago. Practices with Peninsula Physical Therapy LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Maryland.
- Years since qualifying
- 10
- Licensed in
- MD
- In the registry since
- 2019
Practice location Address checks out
300 Mill Pond Ln Apt 308Salisbury, MD 21804-2115
Phone: (443) 614-6479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 24208 (MD) |
|---|
Record details
| NPI number | 1992349450 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 28, 2019 |
| Last updated in NPPES | October 28, 2019 |
| Mailing address | 300 Mill Pond Ln Apt 308, Salisbury, MD 21804-2115 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Peninsula Physical Therapy Llc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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