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1275763393
KEVIN HEATH BLACK
MECHANICSVILLE, VA
NPI
1275763393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305206040)
Enumeration Date
2009-07-23
Last Update Date
2009-07-23
Business Address
-- KEVIN HEATH BLACK P.T., D.P.T.
8201 ATLEE RD SUITE D
MECHANICSVILLE, VA 23116-1815
Phone number: 804-569-1787
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Mailing Address
-- KEVIN HEATH BLACK P.T., D.P.T.
8201 ATLEE RD. SUITE D
MECHANICSVILLE, VA 23116-1815
Phone number: 804-569-1787
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