Individual
ALYSSA AGNES VANCHINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
805 TEXAS AVE, CAROLINA BEACH, NC 28428-6514
(910) 742-7131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13561
NC
Other
Enumeration date
12/09/2020
Last updated
12/09/2020
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