Alicia A Nixon, PT BCB PMD
Physical Therapist in Ruskin, FL. Individual provider (NPI-1).
NPI number1386651651
StatusActive
Last updated in NPPESApr 8, 2014
Details
- NPI
- 1386651651
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Alicia A Nixon
- Credential
- PT BCB PMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2006
- Last updated
- Apr 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT014787 | FL | Yes |
Practice location
827 Cypress Village BlvdRuskin, FL 33573-6838
Phone 813-633-0669 · Fax 813-633-0881
Mailing address
3306 Yellowknife CirWimauma, FL 33598-7126
Phone 727-776-5542
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