Individual
DR. ANDREW BLACK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
1725 LASKIN RD, VIRGINIA BEACH, VA 23454
(757) 652-4417
Mailing address
3500 ROYAL PALM CT, VIRGINIA BEACH, VA 23452
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305204346
VA
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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