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MS. ALISICA MONIQUE CORNISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4223 BELVIEU AVE, BALTIMORE, MD 21215-4812
(410) 947-0042
Mailing address
4223 BELVIEU AVE, BALTIMORE, MD 21215-4812
(410) 947-0042

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3135
MD

Other

Enumeration date
08/16/2007
Last updated
08/16/2007
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