Individual
ALICIA IMGRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 623-3510
Mailing address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1003541
PA
Other
Enumeration date
09/20/2016
Last updated
04/19/2021
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