Individual
ALICIA NICOLE WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1867 HARVARD AVE, COLLEGE PARK, GA 30337-3526
(404) 835-4321
(404) 835-4320
Mailing address
33900 HARPER AVE STE 104, CLINTON TOWNSHIP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018106
GA
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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