NICHOLAS ANDREW BLACK

LINCOLNVILLE, ME
NPI1568827657
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  PA4548)
Enumeration Date2015-12-16
Last Update Date2015-12-16
Business Address
Mr. NICHOLAS ANDREW BLACK PTA
167 TUCKER BROOK RD
LINCOLNVILLE, ME 04849-5528
Phone number: 207-763-2745
Mailing Address
Mr. NICHOLAS ANDREW BLACK PTA
167 TUCKER BROOK RD
LINCOLNVILLE, ME 04849-5528
Phone number: 207-763-2745