Individual
ALICIA MARIE OBERQUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3505 LAKE LYNDA DR, SUITE 207, ORLANDO, FL 32817-8324
(877) 896-3660
Mailing address
72 SALISBURY ST, #1, WORCESTER, MA 01609-3161
(360) 471-6743
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7999
MA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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