Alicia Lynn Illis McNamara, PT, DPT
Physical Therapist in Durham, NC. Individual provider (NPI-1).
NPI number1366097750
StatusActive
Last updated in NPPESAug 13, 2025
Details
- NPI
- 1366097750
- Entity type
- Individual (NPI-1)
- Name
- Alicia Lynn Illis McNamara
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2019
- Certification date
- Aug 13, 2025
- Last updated
- Aug 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P19031 | NC | Yes |
| 225100000X | Physical Therapist | 40QA01930400 | NJ |
Practice location
508 Fulton StDurham, NC 27705-3875
Phone 267-221-4391
Mailing address
111 Salmon River DrDurham, NC 27705-2875
Phone 267-221-4391
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All 588 Physical Therapist providers in Durham · All 16,553 providers in Durham
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