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Individual

MISS ALICIA DAWN HARRISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
1251 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860
(970) 946-9269
Mailing address
PO BOX 51, GRAND LAKE, CO 80447-0051
(970) 946-9269

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
12731
CO
225200000X
Physical Therapy Assistant
Primary
1289
NH

Other

Enumeration date
07/24/2012
Last updated
01/24/2019
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