Individual
MRS. ALICIA B TYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8918 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6691
(704) 900-8960
Mailing address
8918 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6691
(704) 900-8960
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2588
NC
Other
Enumeration date
09/27/2008
Last updated
07/24/2020
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