Provider Demographics
NPI:1821384439
Name:GROUNDS, ALECIA (PT)
Entity type:Individual
Prefix:
First Name:ALECIA
Middle Name:
Last Name:GROUNDS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ALECIA
Other - Middle Name:
Other - Last Name:SANECKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1140 E ALGONQUIN RD
Mailing Address - Street 2:DIAMOND PHYSICAL THERAPY
Mailing Address - City:ALGONQUIN
Mailing Address - State:IL
Mailing Address - Zip Code:60102-3084
Mailing Address - Country:US
Mailing Address - Phone:847-854-0196
Mailing Address - Fax:
Practice Address - Street 1:1728 N RICHMOND RD
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60051-5414
Practice Address - Country:US
Practice Address - Phone:815-578-8905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist