Individual
ALISHA D. MIDURI
Active
Individual
ALISHA D. MIDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013547L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270685
HEALTH AMER/HEALTH ASSUR.
PA
01
—
624028
HIGHMARK BLUE SHIELD
PA
01
—
7343147
AETNA
PA
Enumeration date
10/05/2006
Last updated
01/14/2015
Update your record
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