MR. Nicholas Andrew Black, PTA

NPI #1568827657 in Lincolnville, Maine

Provider Information

NPI Number: 1568827657
Entity Type: Individual
Name: MR. Nicholas Andrew Black, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 16, 2015
Last Updated: Dec 16, 2015

Practice Location

Address: 167 TUCKER BROOK RD
City: Lincolnville
State: Maine
ZIP Code: 04849-5528
Phone: (207) 763-2745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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