Provider Demographics
NPI:1003116377
Name:MCQUAIN, ALICIA (MPT)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:MCQUAIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1686 BRIAR CHAPEL PKWY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-4083
Mailing Address - Country:US
Mailing Address - Phone:919-323-1572
Mailing Address - Fax:480-481-5070
Practice Address - Street 1:620 SUMMIT CROSSING PL
Practice Address - Street 2:STE 305
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2176
Practice Address - Country:US
Practice Address - Phone:704-865-0077
Practice Address - Fax:704-852-3499
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP12891225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist