Alicia Standish, PTA

NPI #1932651213 in Raleigh, North Carolina

Provider Information

NPI Number: 1932651213
Entity Type: Individual
Name: Alicia Standish, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health
Credential: PTA
Enumeration Date: Nov 2, 2016
Last Updated: Nov 2, 2016

Practice Location

Address: 2626 GLENWOOD AVE STE 160
City: Raleigh
State: North Carolina
ZIP Code: 27608-1367
Phone: (984) 444-9903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary
Early Intervention Provider Agency	252Y00000X

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