Individual
MARY ALEXIS ALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
7601 PARKLANE RD, COLUMBIA, SC 29223-6122
(803) 741-9090
(803) 741-1914
Mailing address
6103 CRABTREE RD, COLUMBIA, SC 29206-4307
(803) 782-3365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
195
SC
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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