Provider Demographics
NPI:1255596920
Name:BILLMAN, ALICE F (MT)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:F
Last Name:BILLMAN
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:550 PACIFIC COAST HWY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-5999
Mailing Address - Country:US
Mailing Address - Phone:562-708-1202
Mailing Address - Fax:562-683-0314
Practice Address - Street 1:550 PACIFIC COAST HWY
Practice Address - Street 2:SUITE 207
Practice Address - City:SEAL BEACH
Practice Address - State:CA
Practice Address - Zip Code:90740-5999
Practice Address - Country:US
Practice Address - Phone:562-708-1202
Practice Address - Fax:562-683-0314
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist