Individual
ALICIA ANGELINE DEBORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
336 DEERFIELD RD, BOONE, NC 28607-5008
(828) 268-9043
(828) 268-9045
Mailing address
451 HERITAGE OAKS LN, JEFFERSON, NC 28640-9837
(336) 263-5022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400051
—
NC
Enumeration date
03/25/2007
Last updated
02/17/2015
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