Individual
ALICIA STANDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2626 GLENWOOD AVE STE 160, RALEIGH, NC 27608-1367
(984) 444-9903
Mailing address
2626 GLENWOOD AVE STE 160, RALEIGH, NC 27608-1367
(984) 444-9903
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2867
NC
252Y00000X
Early Intervention Provider Agency
2867
NC
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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