Individual
BOBBI VICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6726 SPEAROW LN, WILMINGTON, NC 28411-7413
(910) 922-0448
Mailing address
6726 SPEAROW LN, WILMINGTON, NC 28411-7413
(910) 922-0448
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4531
NC
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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