Individual provider · Type 1 NPI

Peter Wilson Luciano Jr., PTA

Physical Therapy Assistant · Middletown, NY

NPI number 1063625895 Active

Practice location

121 Dunning Rd
Middletown, NY 10940-2243

Call (845) 343-0801 Map

Mailing address

12 Old Cross Rd
Warwick, NY 10990-2905

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X002663-1 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1063625895

Peter Wilson Luciano Jr., PTA's National Provider Identifier is 1063625895, issued on May 8, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Middletown, NY. The record was last updated on Jul 8, 2007.