Provider Demographics
NPI:1699759811
Name:MCMASTERS, ALICIA MARBLO (PT, CSCS)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:MARBLO
Last Name:MCMASTERS
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Gender:F
Credentials:PT, CSCS
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Mailing Address - Street 1:8220 UNIVERSITY EXEC PARK DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-3380
Mailing Address - Country:US
Mailing Address - Phone:704-547-1129
Mailing Address - Fax:704-547-9056
Practice Address - Street 1:8220 UNIVERSITY EXEC PARK DR
Practice Address - Street 2:SUITE 140
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3380
Practice Address - Country:US
Practice Address - Phone:704-547-1129
Practice Address - Fax:704-547-9056
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2011-02-28
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Provider Licenses
StateLicense IDTaxonomies
NC94862251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic