Individual
JOSHUA LANDON VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2580 PRUDEN BLVD, SUFFOLK, VA 23434-4229
(757) 934-2363
Mailing address
709 HUNTERS QUAY, CHESAPEAKE, VA 23320-6567
(919) 740-6465
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605287
VA
225200000X
Physical Therapy Assistant
5641
NC
Other
Enumeration date
02/12/2020
Last updated
03/12/2020
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