MRS. Vickie Charity Black, LPTA
NPI #1841422565 in Charles City, Virginia
Provider Information
- NPI Number
- 1841422565
- Entity Type
- Individual
- Name
- MRS. Vickie Charity Black, LPTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Aug 13, 2009
- Last Updated
- Aug 13, 2009
Practice Location
- Address
- 10531 SHADY LANE
- City
- Charles City
- State
- Virginia
- ZIP Code
- 23030-2847
- Phone
- (804) 829-5310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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