Individual
MR. NORMAN DWIGHT VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 AZALEA DR, HAMPTON, VA 23669-3734
(757) 723-7522
Mailing address
50 AZALEA DR, HAMPTON, VA 23669-3734
(757) 723-7522
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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