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Individual

MRS. ALICIA MARIE BURGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
3212 N 13TH ST, TERRE HAUTE, IN 47804-1236
(812) 460-1400
(812) 460-1402
Mailing address
3212 N 13TH ST, TERRE HAUTE, IN 47804-1236
(812) 460-1400
(812) 460-1402

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21405241
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT21405241
LICENSED MASSAGE THERAPIST
IN
Enumeration date
09/24/2019
Last updated
09/24/2019
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