Individual
ALICIA PIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25 HOSMER ST APT 2, WATERTOWN, MA 02472-1977
(617) 943-6460
Mailing address
25 HOSMER ST APT 2, WATERTOWN, MA 02472-1977
(617) 943-6460
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8719
COMMONWEALTH OF MASSACHUSETTS
MA
Enumeration date
10/17/2013
Last updated
10/17/2013
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