Provider Demographics
NPI:1376504845
Name:OICKLE, DEBORAH CHARMAINE (PT MHS OCS)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:CHARMAINE
Last Name:OICKLE
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Gender:F
Credentials:PT MHS OCS
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Mailing Address - Street 1:1410 INCARNATION DR
Mailing Address - Street 2:ATLANTIC SPORTS AND REHAB STE 101
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901
Mailing Address - Country:US
Mailing Address - Phone:434-978-4915
Mailing Address - Fax:434-978-7194
Practice Address - Street 1:1410 INCARNATION DR
Practice Address - Street 2:ATLANTIC SPORTS AND REHAB STE 101
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901
Practice Address - Country:US
Practice Address - Phone:434-978-4915
Practice Address - Fax:434-978-7194
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA2305005406225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist