Doctor Name: | RICHARD N VICK |
NPI Number: | 1407174691 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPT |
License Number: | 1872 |
Business Practice Address: | 1109b E Memorial Dr Ahoskie, NC - 279103919 |
Business Phone Number: | 2523326760 |
Business Fax Number: | |
Mailing Address: | Po Box 576, AHOSKIE |
State: | NC |
Postal Code: | 279100576 |
Phone Number: | 2523326760 |
Fax Number: | |
NPI Enumeration Date: | 05/12/2010 |
NPI Last Update Date: | 05/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |