Provider Demographics
NPI:1073809869
Name:BAUGHMAN, ALICIA LYNN (DPT)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:LYNN
Last Name:BAUGHMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4750 LINDLE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2428
Mailing Address - Country:US
Mailing Address - Phone:717-803-3342
Mailing Address - Fax:717-974-8743
Practice Address - Street 1:2380 COLONIAL ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-9189
Practice Address - Country:US
Practice Address - Phone:717-220-8267
Practice Address - Fax:717-344-5184
Is Sole Proprietor?:No
Enumeration Date:2011-06-21
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT021335225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist