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NPI Code Detail

MEDICARE: ALICIA AMSBERRY

MEDICARE: ALICIA AMSBERRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1942664537
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA AMSBERRY
Provider Business Mailing Address
First Line : 8725 ARIVA CT APT 545
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-2452
Country : US
Telephone Number : 503-734-5967
Fax Number :
Provider Business Practice Location Address
First Line : 7850 MISSION CENTER CT STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1323
Country : US
Telephone Number : 619-578-2232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 09/22/2018

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Directions to “ ALICIA AMSBERRY ” Practice Location

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