Individual
ALIA ANTONUCCI-ALTER EDELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5838 SIX FORKS RD STE 300, RALEIGH, NC 27609-3893
(919) 782-5954
(919) 890-5304
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(570) 550-0168
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P12202
NC
Other
Enumeration date
07/10/2009
Last updated
02/01/2024
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