Individual
ALICIA A EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25 WEST ST, NUNDA, NY 14517-9685
(585) 468-2020
(585) 468-5001
Mailing address
PO BOX 613, NUNDA, NY 14517-0613
(585) 519-5050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022762
NY
Other
Enumeration date
03/08/2012
Last updated
06/10/2015
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