Organization
ROANOKE CHOWAN REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD N VICK LPT (OWNER/PHYSICAL THERAPIST)
(252) 332-6760
Entity
Organization
Contact information
Practice address
1109 E MEMORIAL DR, SUITE 2, AHOSKIE, NC 27910-3919
(252) 332-6760
(252) 332-1688
Mailing address
PO BOX 576, AHOSKIE, NC 27910-0576
(252) 332-6760
(252) 332-1688
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1872
NC
Other
Enumeration date
02/25/2010
Last updated
05/20/2010
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