VICKIE CHARITY BLACK

CHARLES CITY, VA
NPI1841422565
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306601258)
Enumeration Date2009-08-13
Last Update Date2009-08-13
Business Address
Mrs. VICKIE CHARITY BLACK LPTA
10531 SHADY LANE
CHARLES CITY, VA 23030-2847
Phone number: 804-829-5310
Mailing Address
Mrs. VICKIE CHARITY BLACK LPTA
10531 SHADY LANE
CHARLES CITY, VA 23030-2847
Phone number: 804-829-5310