National Provider Identifier

Alicia A Ebersole, PT

Alicia A Ebersole, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Nunda, NY and a listed phone number of (585) 468-2020.

NPI 1568736551Nunda, NYPhysical Therapist

Profile Overview

NPI
1568736551
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
March 08, 2012
Last Updated
June 10, 2015

Practice Location

  • 25 West St
  • Nunda, NY 14517-9685

Phone: (585) 468-2020

Mailing Address

  • PO Box 613
  • Nunda, NY 14517-0613

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1568736551
Entity Type
Individual
Last Name
Ebersole
First Name
Alicia
Middle Name
A
Credential
PT
Mailing Street Address
PO Box 613
Mailing City
Nunda
Mailing State
NY
Mailing ZIP Code
14517-0613
Mailing Country
US
Mailing Phone
(585) 519-5050
Practice Street Address
25 West St
Practice City
Nunda
Practice State
NY
Practice ZIP Code
14517-9685
Practice Country
US
Practice Phone
(585) 468-2020
Practice Fax
(585) 468-5001
Enumeration Date
March 08, 2012
Last Updated
June 10, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)