Alisica Monique Cornish PTA

NPI 1760674469 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1760674469
Gender Female
Enumeration Date 08/16/2007
Last Updated 08/16/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4223 BELVIEU AVE
BALTIMORE MD, 21215-4812, US
Phone (410) 947-0042
Fax
Business Location
4223 BELVIEU AVE
BALTIMORE MD, 21215-4812, US
Phone (410) 947-0042
Fax
Toxanomy
Taxonomy Code 225200000X
License State Maryland
License Number A3135
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According to our database, Ms. Alisica Monique Cornish PTA NPI is 1760674469, taxonomy code is 225200000X and license number is A3135, license state is located at Maryland. Alisica Monique Cornish PTA physically located at 4223 Belvieu Ave, Baltimore MD, 21215-4812. NPI Number Alisica Monique Cornish PTA has the Individual type.

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1760674469 NPI number is provided on an as is basis without warranty of any kind. 1760674469 is maintained by the National Plan & Provider Enumeration System. The contents of Alisica Monique Cornish PTA are for informational purposes only.