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Alicia D Ferguson, PT
Specialist in Bellwood, Illinois
NPI 1518298769

Alicia D Ferguson is a Specialist based in Bellwood, IL. Alicia D Ferguson practices in Bellwood, IL and has the professional credentials of PT. The NPI Number for Alicia D Ferguson is 1518298769 and holds a License No. 070-012669 (Illinois).

The current practice location address for Alicia D Ferguson is 2615 Harrison St, Bellwood, IL and can be reached out via phone at 708-493-0199 and via fax at 708-493-9683.

Location: 2615 Harrison St, Bellwood, IL, 60104-2450
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518298769
Provider Name
Alicia D Ferguson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
2615 Harrison St, Bellwood, IL, 60104-2450
Phone Number
708-493-0199
Fax Number
708-493-9683
Provider Enumeration Date
01/27/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070-012669 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2615 Harrison St
City
Bellwood
State
Illinois
Zip
60104-2450
Phone Number
708-493-0199
Fax Number
708-493-9683
person
Provider Business Mailing Address Details
Address
2615 Harrison St
City
Bellwood
State
Illinois
Zip
60104-2450
Phone Number
708-493-0199
Fax Number
708-493-9683
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
070-012669 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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