Individual
ALICIA LYNN ILLIS MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(267) 221-4391
Mailing address
111 SALMON RIVER DR, DURHAM, NC 27705-2875
(267) 221-4391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01930400
NJ
225100000X
Physical Therapist
Primary
P19031
NC
Other
Enumeration date
08/02/2019
Last updated
08/13/2025
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