Provider Demographics
NPI:1184748790
Name:LIMBURG, ALICIA TOUPS (PT)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:TOUPS
Last Name:LIMBURG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE PORTOFINO DR
Mailing Address - Street 2:SUITE 2009
Mailing Address - City:PENSACOLA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32561-2492
Mailing Address - Country:US
Mailing Address - Phone:850-554-0455
Mailing Address - Fax:
Practice Address - Street 1:2330 LAPALCO BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-6125
Practice Address - Country:US
Practice Address - Phone:504-366-3302
Practice Address - Fax:504-366-3311
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA03167225100000X
FL20040225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist