Individual
MR. PHILIP A KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
Mailing address
730 THIMBLE SHOALS BLVD, SUITE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2306602488
VA BOARD OF MEDICINE
VA
Enumeration date
10/15/2008
Last updated
10/15/2008
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