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Individual

MRS. ALICIA HARVEY RHODES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
641 BLOSSOM HILL RD, LINCOLNTON, NC 28092-7365
(980) 241-9103
Mailing address
641 BLOSSOM HILL RD, LINCOLNTON, NC 28092-7365
(980) 241-9103

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
22744
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070802462
BOC- CERTIFIED ATHLETIC TRAINER
01
22744
LICENSED ATHLETIC TRAINER
NC
Enumeration date
07/29/2014
Last updated
07/29/2014
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