Individual
ALICIA LYNNE VANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
17 SUNRISE DR, OSWEGO, NY 13126-1838
(315) 342-4790
Mailing address
58 BINGHAM RD, OSWEGO, NY 13126-6564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
048387
NY
225100000X
Physical Therapist
2305211386
VA
Other
Enumeration date
07/31/2017
Last updated
03/10/2022
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